Jennifer Amie Mussaw, LCSW-A

Individual provider Active NPI Clinical Social Worker · Morehead City, NC

NPI 1992166128 · NPPES record last updated Mar 16, 2016

Key facts

NPI
1992166128
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
P010253 (NC)
Practice address
3332 Bridges St Ste a
Morehead City, NC 28557-3296
Phone
(252) 726-9006
NPI assigned
Mar 16, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
P010253NCMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P010253 NC Yes

Addresses

Primary practice location

3332 Bridges St Ste a
Morehead City, NC 28557-3296

Mailing address

3332 Bridges St Ste a
Morehead City, NC 28557-3296
Phone (252) 726-9006

Other providers in Morehead City, NC

All providers in Morehead City, NC · Clinical Social Worker in North Carolina

Sources for this page

Verify at the official NPI Registry.