Individual provider · Type 1 NPI

Dina Rae Mazzella, LCSW

Clinical Social Worker · New York, NY

NPI number 1629220207 Active

Practice location

1651 3rd Ave, Suite 201
New York, NY 10128-3679

Mailing address

345 E 93rd St, Apt # 21C
New York, NY 10128-5515

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR056867-1 (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 1629220207

Dina Rae Mazzella, LCSW's National Provider Identifier is 1629220207, issued on Oct 15, 2008. 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 Oct 15, 2008.