Individual provider · Type 1 NPI
Ellen Mazza, LCSW
Clinical Social Worker · Highland Park, IL
Practice location
626 Sumac Rd
Highland Park, IL 60035-4450
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 149.013378 (IL) |
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 1285866764
Ellen Mazza, LCSW's National Provider Identifier is 1285866764, issued on Aug 17, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Highland Park, IL. The record was last updated on Aug 17, 2009.