Individual provider · Type 1 NPI

Susan Mazzola, LCSWR

Clinical Social Worker · Baldwin, NY

NPI number 1972636728 Active

Practice location

2277 Grand Ave
Baldwin, NY 11510-3148

Mailing address

236 W End Ave
Massapequa, NY 11758-6413

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR042590 (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 1972636728

Susan Mazzola, LCSWR's National Provider Identifier is 1972636728, issued on Mar 13, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Baldwin, NY. The record was last updated on Jul 16, 2015.