Individual provider · Type 1 NPI

Rudyard A. Maza, LCSW

Clinical Social Worker · Forest Hills, NY

NPI number 1609127984 Active

Practice location

10470 Queens Blvd, Suite 200
Forest Hills, NY 11375-3638

Call (718) 275-6010 Map

Fax (718) 275-6062

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker Primary 1041C0700X087326-1 (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 1609127984

Rudyard A. Maza, LCSW's National Provider Identifier is 1609127984, issued on Sep 26, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Forest Hills, NY. The record was last updated on Feb 11, 2019.