PAUL WULKAN (PSY D LLSW) – Clinical Social Worker, NPI 1700887817

PAUL WULKAN (PSY D LLSW) is a healthcare provider. based in Las vegas, Nevada. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials PSY D LLSW. They hold a License No. LCSW C-676 (NV). The NPI Number for PAUL WULKAN (PSY D LLSW) is 1700887817

Main info

Male
59 Years Of Experience
Accepts Medicare Assignment
Name
PAUL WULKAN (PSY D LLSW)
NPI
1700887817
Phone
(702) 243-4357
Address
222 S RAINBOW BLVD
Enumeration Date
10 August 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7023332298
Graduation Year
1967 (59 years ago)
PAC ID
0042243545
Group Practice PAC ID
8527364868
Professional Enrollment ID
I20050915000164
Address ID
NV891021506LA4550XBLVD403
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

548 CLINICAL SOCIAL WORKER in NV

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Provider Addresses for PAUL WULKAN (PSY D LLSW)

  • South Rainbow Boulevard, Charleston Heights, Las Vegas, Clark County, Nevada, 89146-1126, United States

    STE 210

    LAS VEGAS, NV 891455340

    Phone: (702) 243-4357

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-09-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050915000164IClinical Social WorkerNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour35320$0
90791Psychiatric diagnostic evaluation1212$0
View full utilization report →

Insurance plans in this area (ZIP 89145)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8527364868View full group profile
NameSpecialtyState
Clinical Social WorkerNV

Reviews

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Frequently asked questions

How is PAUL WULKAN (PSY D LLSW) identified in CMS data?
CMS-hosted NPPES data lists PAUL WULKAN (PSY D LLSW) with NPI 1700887817.
Is PAUL WULKAN (PSY D LLSW) still practicing?
PAUL WULKAN (PSY D LLSW) is currently listed as active in the public NPI registry.
What is PAUL WULKAN (PSY D LLSW)'s specialty?
The listing groups PAUL WULKAN (PSY D LLSW) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What area does PAUL WULKAN (PSY D LLSW) serve?
PAUL WULKAN (PSY D LLSW)'s listing highlights Las Vegas, Nevada; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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