Individual provider · Type 1 NPI

Kelly Mazur, LMSW

Clinical Social Worker · Clarkston, MI

NPI number 1144611708 Active

Practice location

6549 Town Center Dr Ste A
Clarkston, MI 48346-4824

Call (248) 620-6400 Map

Mailing address

6549 Town Center Dr
Clarkston, MI 48346-4824

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Clinical Social Worker Primary 1041C0700XNone 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 1144611708

Kelly Mazur, LMSW's National Provider Identifier is 1144611708, issued on Feb 18, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Clarkston, MI. The record was last updated on Oct 1, 2020.