Amy M Mutz, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

99094502A Issued in IN

Practice address

4411 Washington Ave Ste 300
Evansville, IN 47714-0900

Phone

(812) 479-1916

NPI assigned

Sep 16, 2019

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 identifiers 1

Electronic endpoints 1

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 and National Provider Directory roles.

• Luzio & Associates Behavioral Services, Inc.

  • Clinical Social Worker
  • Evansville, IN
  • NPI 1255436754
  NPD

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1902456510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 WASHINGTON AVE STE 300",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140900",
            "telephone_number": "812-479-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 WASHINGTON AVE STE 300",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140900",
            "telephone_number": "812-479-1916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTZ",
        "first_name": "AMY",
        "middle_name": "M",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "IN",
            "license": "99094502A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200238820",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "LUZIOASSOCIATES.COM",
            "affiliation": "N",
            "address_1": "4411 Washington Ave Ste 300",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "477140900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kate Elizabeth Murray, LCSW
• Mark Harrison Murray, M.D.
• Richard P Murray, MD
• Alicia Musarra
• Philip K Mutter, DPT
• Dennis C Myers, NP-C, AAHIVS
• John M Myers, MD
• Michael T Myers, MD
• Myoptix Family Eyecare, LLC
• Mysa Autism Center LLC

• Social Worker in Evansville, IN
• Providers in Evansville, IN by specialty
• Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.