Jennifer Dina Mutnick, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

125591 Issued in NY

Practice address

7266 Buckley Rd
North Syracuse, NY 13212-2649

Phone

(315) 458-0919

NPI assigned

Oct 28, 2024

Last updated

May 17, 2025By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bright Path Center, Inc.

  dba Bright Path Counseling Center

  • Social Worker
  • North Syracuse, NY
  • NPI 1316046113
  NPD
• Delconte Counseling LCSW PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • N Syracuse, NY
  • NPI 1427810787

  Social Worker

  NPD

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747440000000",
    "number": "1356163687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7266 BUCKLEY RD",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132122649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7266 BUCKLEY RD",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132122649",
            "telephone_number": "315-458-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTNICK",
        "first_name": "JENNIFER",
        "middle_name": "DINA",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-28",
        "last_updated": "2025-05-17",
        "certification_date": "2025-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "125591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zoryana Moreau, NP
• Joseph Gerard Morra, O.D.
• Christopher Morris, NP
• Mother Goose Medical Supply, LLC
• Karen G Munson, OPTICIAN
• Christine Mylott
• N & N Village Pharmacy Inc (Village Pharmacy)
• Katherine Nelson
• Nephrology Hypertension Associates of Cny,P.C.
• New York Anesthesiology Medical Specialties PC (New York Spine and Wellness Center)

• Social Worker in North Syracuse, NY
• Providers in North Syracuse, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2025; 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.