Individual provider Active NPI

Kaitlin Summer Muzzy, LCSW

  • Social Worker
  • Easthampton, MA
National Provider Identifier
1205655727
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
230653 Issued in MA
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

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
230653MAMDSocial Worker
SW141053PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Next Stage Counseling & Consulting, LLC CurrentSince Sep 1, 2025 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.

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

Verify at the official NPI Registry.