Individual provider · Type 1 NPI

Nicholas Mazzoni

Clinical Social Worker · Canon City, CO

NPI number 1164021853 Active

Practice location

700 Four Mile Pkwy
Canon City, CO 81212-9114

Mailing address

431 Woodlawn Ave
Canon City, CO 81212-2838

Specialties and licenses

TaxonomyCodeLicense
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 1164021853

Nicholas Mazzoni's National Provider Identifier is 1164021853, issued on Oct 22, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Canon City, CO. The record was last updated on Oct 22, 2020.