James Samuel Mutton, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

072029 Issued in NY

Practice address

805 E New York Ave Lowr Level
Brooklyn, NY 11203-1293

Phone

(347) 381-5981

Fax

(347) 381-5990

NPI assigned

Nov 11, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Concern for Independent Living, Inc.

  • Community/Behavioral Health Agency
  • Medford, NY
  • NPI 1427198209
  NPD (past)

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

{
    "created_epoch": "1668124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1942918602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 E NEW YORK AVE LOWR LEVEL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112031293",
            "telephone_number": "347-381-5981",
            "fax_number": "347-381-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 E NEW YORK AVE LOWR LEVEL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112031293",
            "telephone_number": "347-381-5981",
            "fax_number": "347-381-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTTON",
        "first_name": "JAMES",
        "middle_name": "SAMUEL",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-11",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "072029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://concern1.concern.local/pcare.html",
            "affiliation": "Y",
            "endpointDescription": "EHR",
            "affiliationName": "Concern for Independent Living, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "312 Expressway Drive South",
            "city": "Medford",
            "state": "NY",
            "country_code": "US",
            "postal_code": "11763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Veena Rao Muthusamy, M.D.
• Cindy Muthuveren, SLP
• Martha Jeannethe Mutis, DMD MPH
• Deniz Mutlu, MD
• Renu Muttana, MD
• Mutual Orthopedics Co., Inc.
• Joseph John Mutz, R.D.
• Wanipa Muwowo, PA
• Hassan Muyir, PHARM. D.
• Jose Muyir, PHARMD

• Social Worker in Brooklyn, NY
• Providers in Brooklyn, 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 Nov 11, 2022; 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.