Individual provider · Type 1 NPI

Lissette Collazo Maza, LCSW

Clinical Social Worker · Coral Gables, FL

NPI number 1700968690 Active

Practice location

3850 W Flagler St
Coral Gables, FL 33134-1604

Fax (305) 475-2650

Mailing address

11031 NE 6th Ave
Miami, FL 33161-7182

Other practice locations

  • 8785 SW 165th Ave Ste 103, Miami, FL 33193-5827 · (786) 206-6500

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst 103K00000XNone listed
Clinical Social Worker Primary 1041C0700XSW8367 (FL)

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 1700968690

Lissette Collazo Maza, LCSW's National Provider Identifier is 1700968690, issued on Oct 19, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Coral Gables, FL. The record was last updated on Mar 29, 2018.