Phylicia Kimmel Musiani, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

24942 Issued in MD

Practice address

214 Scotts Manor Dr
Glen Burnie, MD 21061-6287

Phone

(443) 859-6629

NPI assigned

Dec 18, 2024

Last updated

Dec 18, 2024By 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

Other names 1

• Phylicia Catherine Kimmel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1699583039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 SCOTTS MANOR DR",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210616287",
            "telephone_number": "443-859-6629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 SCOTTS MANOR DR",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210616287",
            "telephone_number": "443-859-6629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSIANI",
        "first_name": "PHYLICIA",
        "middle_name": "KIMMEL",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-18",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "24942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHYLICIA",
            "last_name": "KIMMEL",
            "middle_name": "CATHERINE",
            "credential": "LCSW-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Keontae Nichelle Murray
• Lauren Faith Murray, OTR/L
• Ella Murtha, PAC
• M. Cornelious Musara, MD, FACS
• Mikayla Musco
• Charles A Mutschler, PT
• My Home Cares LLC
• My Mental Health, LLC
• Anne Kathryn Myer, PT
• Barry L. Myers

• Clinical Social Worker in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.