Kayle Mustafaga, LLMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801103372 Issued in MI

Practice address

5303 S Cedar St Ste 2
Lansing, MI 48911-3800

Phone

(517) 346-8318

Fax

(517) 346-8420

NPI assigned

Mar 27, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Community Mental Health Authority Clinton Eaton Ingham Counties

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lansing, MI
  • NPI 1265483457
  NPD (past)
• A Renewed Mind

  • Community/Behavioral Health Agency
  • Toledo, OH
  • NPI 1760749444
  NPD (past)
• Brain Bright Therapy LLC

  • Multi-Specialty Clinic/Center
  • Toledo, OH
  • NPI 1164957890
  NPD (past)

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1366947814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26670 E CARNEGIE PARK DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480346150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5303 S CEDAR ST STE 2",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489113800",
            "telephone_number": "517-346-8318",
            "fax_number": "517-346-8420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5164 Monroe St",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436233471",
            "country_code": "US",
            "telephone_number": "419-720-9586",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26670 E Carnegie Park Dr",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480346150",
            "country_code": "US",
            "telephone_number": "419-410-3904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUSTAFAGA",
        "first_name": "KAYLE",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-27",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801103372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna Murray
• Jose-Santiago Estrada Murray, PT, DPT
• Kennedee Faith Murthum, LMSW
• Sreenivasa Murthy, MD
• Shandeah Mustafa
• Clarissa Mutch, DO
• Marilena Franca Muto, R.PH.
• Muya Transport LLC
• Kisimba Mwembo, LLPC
• My Angels Home Health Services, LLC

• Social Worker in Lansing, MI
• Providers in Lansing, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.