Harry Stoll Mustard, MSW, LISW-CP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5557 Issued in SC

Practice address

3050 Leaphart Rd
West Columbia, SC 29169-3000

Phone

(803) 791-0495

Fax

(803) 791-1958

NPI assigned

Jul 11, 2011

Last updated

Jul 11, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Clinical Social Worker

Education

Other, 1969

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Psychological Health Roanoke PCGroup PAC ID 4981606076, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Psychological Health Roanoke PC

  • Clinical Psychologist
  • Roanoke, VA
  • NPI 1417975806
  Medicare reassignment Care Compare group NPD
• Mt. Hebron Counseling Services

  • School Psychologist
  • West Columbia, SC
  • NPI 1407133770
  NPD (past)
• Lewis Gale Physicians LLC

  • Clinical Medical Laboratory
  • Salem, VA
  • NPI 1336221787
  NPD (past)

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310342400000",
    "number": "1851689996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 LEAPHART RD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693000",
            "telephone_number": "803-791-1958",
            "fax_number": "803-791-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 LEAPHART RD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693000",
            "telephone_number": "803-791-0495",
            "fax_number": "803-791-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSTARD",
        "first_name": "HARRY",
        "middle_name": "STOLL",
        "name_prefix": "Mr.",
        "credential": "MSW, LISW-CP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-11",
        "last_updated": "2011-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "5557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12211634",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mitva Jayantilal Munjapara
• Candace R. Murbach, D.O.
• Kelsey Taylor Murphy, PA-C
• Michael Joseph Murphy, MD
• Trevor Steven Muse, COTA/L
• Taylor Mustizer, PA-C
• Ronald G Myatich, MD
• Shabric Myers
• Brooke Nichole Naffziger, D.O.
• Lindsey Riddick Nagel, P.T., D.P.T.

• Clinical Social Worker in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.