Individual provider · Type 1 NPI
Amanda Rose Mazzone, LCSW
Clinical Social Worker · Ronkonkoma, NY
Practice location
58 Richmond Blvd Unit 3B
Ronkonkoma, NY 11779-3405
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | 72094788 (NY) |
| Clinical Social Worker Primary | 1041C0700X | 088549 (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 1497133979
Amanda Rose Mazzone, LCSW's National Provider Identifier is 1497133979, issued on May 15, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ronkonkoma, NY. The record was last updated on Dec 12, 2023.