Individual provider · Type 1 NPI

Jacob Mazzarella

Clinical Social Worker · New York, NY

NPI number 1184403438 Active

Practice location

2139 Adam Clayton Powell Jr Blvd
New York, NY 10027-3719

Call (773) 633-1977 Map

Mailing address

480 Greene Avenue, 2R
New York City, NY 11216

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X106H0000X (NY)

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 1184403438

Jacob Mazzarella's National Provider Identifier is 1184403438, issued on Sep 26, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New York, NY. The record was last updated on Sep 26, 2023.