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LISA MUSTILLO
NPI 1912181132
Social Worker - Clinical in Marietta, GA

Active since December 24, 2007
180 MONTGOMERY ST NE, MARIETTA, GA 30060(917) 992-7896 Get Directions Write a Review

NPPES record last updated: June 7, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Lisa Mustillo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA MUSTILLO (NPI 1912181132) is an individual clinical provider in Marietta, Georgia, licensed in Georgia (CSW006481) and active in the NPI registry since December 2007. She maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1912181132
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLISA MUSTILLO
Location Address180 MONTGOMERY ST NEMarietta, GA 30060-1440
Mailing Address180 Montgomery St NeMarietta, GA 30060-1440 · (917) 992-7896
Phone(917) 992-7896
Sole ProprietorYes
Enumeration DateDecember 24, 2007
Last NPPES UpdateJune 7, 2021
NPPES CertifiedJune 6, 2021
✔ NPI 1912181132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in GA · CSW006481✔ Licensed in NY · NY0829552
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
180 MONTGOMERY ST NE, Marietta, GA 30060
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Secondary Practice Location 1

Location 11841 Broadway @ 60th Street, 4th FloorNew York, NY 10023 · Phone (212) 333-3444

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Mustillo's NPI number?

The NPI number for Lisa Mustillo is 1912181132. It was assigned to this individual provider in the NPPES registry on December 24, 2007.

Where is Lisa Mustillo located?

Lisa Mustillo practices at 180 Montgomery St NE, Marietta, GA 30060. The listed phone number is (917) 992-7896.

What is Lisa Mustillo's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Lisa Mustillo was last updated on June 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.