Organization · Type 2 NPI
Lisa Mustillo Psychotherapy
Clinical Social Worker · Kennesaw, GA
Practice location
1301 Shiloh Rd NW Ste 860
Kennesaw, GA 30144-7174
Mailing address
180 Montgomery St NE
Marietta, GA 30060-1440
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None listed |
Clinical Social Worker: 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 interpers…
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About NPI 1275277782
Lisa Mustillo Psychotherapy's National Provider Identifier is 1275277782, issued on Apr 21, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Kennesaw, GA. The record was last updated on Aug 9, 2022.