Individual provider · Type 1 NPI

Kristan Mazaka, LICSW

Clinical Social Worker · Methuen, MA

NPI number 1376094888 Active

Practice location

19 1/2 Mystic Street
Methuen, MA 01844

Mailing address

47 Manter Mill Rd
Londonderry, NH 03053-2394

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X118619 (MA)

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 1376094888

Kristan Mazaka, LICSW's National Provider Identifier is 1376094888, issued on Oct 19, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Methuen, MA. The record was last updated on Oct 19, 2016.