Individual provider · Type 1 NPI
Peter Paul Mazzella Jr., LCSW-C
Clinical Social Worker · Hot Springs, SD
Practice location
500 N. 5th St, MHS-1
Hot Springs, SD 57747
Fax (605) 745-2089
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 05643 (MD) |
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 1164520755
Peter Paul Mazzella Jr., LCSW-C's National Provider Identifier is 1164520755, issued on Sep 20, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Hot Springs, SD. The record was last updated on Jul 8, 2007.