P Praxis·MD
● Active Type 1 · Individual

Lisa Mustillo

Social Worker·Marietta, GA· NPI 1912181132 · Enumerated 2007 · 18 years on NPI
Mustillo is 1 of 207 social worker providers in Marietta and 1 of 5654 in Georgia.
NPI age
18 years
Enumerated 2007-12-24
Primary specialty
Social Worker
Plus 1 subspecialty
Licensed in
GA, NY
2 states
Status
Active
No deactivations on record
Last NPPES update
2021-06-07
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 5654 active social worker providers in Georgia.

NPI age
18 years
↑ 9 yr above median (9 yr)
State licenses
2 states
Top 91% — 8% of peers are multi-state
Subspecialties
0
19% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-12Enumerated in NPPES
2007 2026

Where they practice

Practice location
180 Montgomery St Ne
Marietta, GA 300601440
📞 9179927896
Mailing address
180 Montgomery St Ne
Marietta, GA 300601440
📞 9179927896

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1841 Broadway @ 60th Street, 4th Floor
New York, NY 10023
📞 2123333444

Specialties

  • Social Worker Primary
    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...
    GA license #CSW006481NY license #NY0829552 taxonomy 1041C0700X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Recently enumerated nearby: 4 new social worker providers have been added in Marietta in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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