NPI age
4 years
Enumerated 2022-04-21
● Active Type 2 · Organization
Lisa Mustillo Psychotherapy
Lisa Mustillo Psychotherapy is 1 of 5654 social worker organizations in Georgia.
Primary specialty
Social Worker
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Mustillo
Licensed Clinical Social Worker
Last NPPES update
2022-08-09
Source: monthly bulk 2026-05
How this organization compares
Across 5654 active social worker providers in Georgia.
NPI age
4 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2022 → 2026
2022-04Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
1301 Shiloh Rd Nw Ste 860
Kennesaw, GA 301447174
Mailing address
180 Montgomery St Ne
Marietta, GA 300601440
Authorized official
Lisa Mustillo, LCSW
Licensed Clinical Social Worker
📞 9179927896
Specialties
-
Social Worker PrimaryA 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...
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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