KEVIN VINCENT MASTURZO (LCSW) – Clinical Social Worker, NPI 1073636775

KEVIN VINCENT MASTURZO (LCSW) is a healthcare provider. based in North wales, Pennsylvania. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. CW015626 (PA). The NPI Number for KEVIN VINCENT MASTURZO (LCSW) is 1073636775

Main info

Male
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN VINCENT MASTURZO (LCSW)
NPI
1073636775
Phone
(215) 264-3755
Address
110 Washington Ave
Enumeration Date
9 April 2007
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6109705234
Graduation Year
2003 (23 years ago)
PAC ID
8527163336
Group Practice PAC ID
9335127067
Professional Enrollment ID
I20070423000305
Address ID
PA194643211PO2091XSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,438 CLINICAL SOCIAL WORKER in PA

Provider Addresses for KEVIN VINCENT MASTURZO (LCSW)

  • 110 Washington Ave

    North Wales, PA 194543425

    Phone: (215) 264-3755

    Fax: (215) 699-6677

    Type: Location

  • 4031 DIXIE HWY NE

    PALM BAY, FL 329053682

    Phone: (321) 622-3222

    Type: Location

  • 184 GALVESTON ST SW

    PALM BAY, FL 329087138

    Phone: (215) 264-3755

    Fax: (267) 219-6956

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-04-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070423000305IClinical Social WorkerPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19454)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335127067View full group profile
NameSpecialtyState
Mental Health CounselorPA
Mental Health CounselorPA
Clinical Social WorkerPA
Clinical Social WorkerPA
-PA
Mental Health CounselorPA
Clinical PsychologistPA
P S Y C H I A T R YPA
Clinical Social WorkerNC
Clinical PsychologistPA

Reviews

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Frequently asked questions

What identifier follows KEVIN VINCENT MASTURZO (LCSW) across health systems?
The NPI 1073636775 uniquely identifies KEVIN VINCENT MASTURZO (LCSW) in U.S. healthcare data.
Quick check: is KEVIN VINCENT MASTURZO (LCSW) active?
Public NPPES data shows KEVIN VINCENT MASTURZO (LCSW) with an active NPI status right now.
What type of care does KEVIN VINCENT MASTURZO (LCSW) provide?
KEVIN VINCENT MASTURZO (LCSW)'s profile centers on Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What city is tied to KEVIN VINCENT MASTURZO (LCSW)?
The directory associates KEVIN VINCENT MASTURZO (LCSW) with North Wales, Pennsylvania. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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