Jason Muzzillo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

252362 Issued in KY

Practice address

152 E Reynolds Rd Ste 103
Lexington, KY 40517-1261

Phone

(859) 322-9222

NPI assigned

Jun 14, 2017

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

Medicare fee-for-service enrollment

Enrolled in KY

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

University of Kentucky College of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Jason Muzzillo, PLLCGroup PAC ID 3577997964, 10 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 and National Provider Directory roles.

• Jason Muzzillo, PLLC

  • Clinical Social Worker
  • Lexington, KY
  • NPI 1336614072
  Medicare reassignment Care Compare group NPD Authorized official
• Lionheart Trauma Support Services, LLC

  • Clinical Social Worker
  • Lexington, KY
  • NPI 1538638515
  NPD (past)

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497398400000",
    "number": "1962932756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 CHESTNUT RIDGE DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405118817",
            "telephone_number": "859-322-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 E REYNOLDS RD STE 103",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405171261",
            "telephone_number": "859-322-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUZZILLO",
        "first_name": "JASON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-14",
        "last_updated": "2017-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "252362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Kathleen Musilli, DO
• Lindsay Renee Musto, APRN
• Christine Muszynski, RBT
• Lora Mutiso, APRN
• Justyn Muzic, CRNA
• Valessa St. Pierre Mwanjawala, PSY.D.
• Grace Mwine, RBT
• My Vision Care Professional Limited Liability Company
• Adria B Myers, APRN
• Amber Myers

• Clinical Social Worker in Lexington, KY
• Providers in Lexington, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2017; 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.