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JASON MUZZILLO PLLC NPI 1336614072


NPI Information

NPI: 1336614072
Provider Name: JASON MUZZILLO, PLLC

Doing Business As: RESOLUTIONS THERAPY PRACTICE

Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
168 E REYNOLDS RD STE 150
LEXINGTON, KY
ZIP 40517
Phone: (859) 305-1430
Get Directions

JASON MUZZILLO, PLLC is a clinical social worker in Lexington, KY. The provider is 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. JASON MUZZILLO, PLLC NPI is 1336614072. The provider is registered as an organization entity type.
The provider Is Doing Business As Resolutions Therapy Practice.

The provider's business location address is:

168 E REYNOLDS RD STE 150
LEXINGTON, KY
ZIP 40517-360
Phone: (859) 305-1430

The provider's authorized official is Jason Muzzillo .
The authorized official title is Owner/employee and has the following contact phone number (859) 305-1430.

The enumeration date for this NPI number is 10/9/2018 and was last updated on 10/15/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0850XClinic/CenterAdult Mental HealthNo
2261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
31041C0700XSocial WorkerClinicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17100614860MEDICAIDWISCONSIN
27100515530MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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