Active NPI
Kaitlin Summer Muzzy, LCSW
- Social Worker
- Easthampton, MA
National Provider Identifier
1205655727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 230653
- Practice address
- 40 Ferry St
Easthampton, MA 01027-1232 - Phone
- (267) 897-5234
- NPI assigned
- Oct 10, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW141053 | PA | |
| Social Worker | 104100000X | 230653 | MA | Primary |
Addresses
Primary practice location
40 Ferry St
Easthampton, MA 01027-1232
Mailing address
40 Ferry St
Easthampton, MA 01027-1232
Phone (267) 897-5234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251010000473 | MA | Practitioner - Clinical Social Worker | 5890292254 |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
175 Dwight Rd
Suite 303K
Longmeadow, MA 01106-2168
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 230653 | MA | MD | Social Worker |
| SW141053 | PA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Next Stage Counseling & Consulting, LLC | Current | Accepting new patients | |
| Center for Human Development, Inc. | Past | Accepting new patients |
Locations
175 Dwight Rd
Longmeadow, MA 01106
Phone (413) 237-9010
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Longmeadow, MA
- NPI 1831911098
-
- Community/Behavioral Health Agency
- Springfield, MA
- NPI 1912099219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728518400000",
"number": "1205655727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 FERRY ST",
"city": "EASTHAMPTON",
"state": "MA",
"postal_code": "010271232",
"telephone_number": "267-897-5234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 FERRY ST",
"city": "EASTHAMPTON",
"state": "MA",
"postal_code": "010271232",
"telephone_number": "267-897-5234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUZZY",
"first_name": "KAITLIN",
"middle_name": "SUMMER",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-10",
"last_updated": "2024-10-10",
"certification_date": "2024-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW141053",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "230653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Easthampton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.