Jacqueline B Muller, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R056489 Issued in NY

Practice address

3 Market St
Wappingers Falls, NY 12590-2301

Phone

(845) 702-1042

Fax

(845) 709-8434

NPI assigned

Oct 3, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Fordham University School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dynamic Intervention, LLC

  • Clinical Social Worker
  • Wappingers Falls, NY
  • NPI 1942793252
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1013002617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MARKET ST",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125902301",
            "telephone_number": "845-702-1042",
            "fax_number": "845-709-8434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MARKET ST",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125902301",
            "telephone_number": "845-702-1042",
            "fax_number": "845-709-8434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLER",
        "first_name": "JACQUELINE",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R056489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02869556",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "20-8949528",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caryl Morris
• Paula Morro-Wrafter, P.T.
• Steven Eric Moskowitz, DPM
• Moss Mirror LCSW, PLLC
• Rasheena Moss
• Urania Muniz
• Carolyn Dora Muscetta, RN
• Christine Myers, DPT
• Nermeen Naser Naguib, MA, MS, LPC
• Abegale Lizabeth Nelson, PHARMD

• Clinical Social Worker in Wappingers Falls, NY
• Providers in Wappingers Falls, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.