Individual provider Active NPI

Stephen Scott Muggeo, LCSW

  • Clinical Social Worker
  • Providence, RI
National Provider Identifier
1215237060
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW02118 Issued in RI
Practice address
9 S Angell St
Providence, RI 02906
Phone
(401) 525-8436
NPI assigned
Oct 27, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 116852 MA
Clinical Social Worker 1041C0700X 008437 CT
Clinical Social Worker 1041C0700X 055803 NY
Clinical Social Worker 1041C0700X 6180 FL
Clinical Social Worker 1041C0700X ISW02118 RI Primary

Addresses

Primary practice location

9 S Angell St
Providence, RI 02906

Mailing address

9 S Angell St
Providence, RI 02906-5226
Phone (401) 525-8436

Other practice location 1

30 Old Kings Hwy S
Suite 208
Darien, CT 06820-4519
Phone (203) 274-4848

Other practice location 2

30 Old Kings Hwy S
Suite 208
Darien, CT 06820-4519
Phone (203) 274-4848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
116852MAMDClinical Social Worker
055803NYMDClinical Social Worker
008437CTMDDentist
6180FLMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen S. Muggeo Psychotherapy, LLC Clinical CurrentSince Mar 26, 2023 Accepting new patients

Locations

30 Old Kings Hwy S
Darien, CT 06820
Phone (203) 654-9094

9 S Angell St
Providence, RI 02906
Phone (401) 525-8436

Organizations & group practices 1

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": "1288137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1215237060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 S ANGELL ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065226",
            "telephone_number": "401-525-8436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 S ANGELL ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02906",
            "telephone_number": "401-525-8436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Old Kings Hwy S",
            "address_2": "Suite 208",
            "address_purpose": "LOCATION",
            "city": "Darien",
            "state": "CT",
            "postal_code": "068204519",
            "country_code": "US",
            "telephone_number": "203-274-4848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Old Kings Hwy S",
            "address_2": "Suite 208",
            "address_purpose": "LOCATION",
            "city": "Darien",
            "state": "CT",
            "postal_code": "068204519",
            "country_code": "US",
            "telephone_number": "203-274-4848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUGGEO",
        "first_name": "STEPHEN",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-27",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "116852",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "008437",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "055803",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "6180",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW02118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.