Susan Mazzola is a Clinical in Massapequa, New York. Susan Mazzola practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Mazzola is 1972636728. The last update date is 2015-07-16.
Susan Mazzola's current location address is 236 W End Ave, Massapequa, New York. You can contact this provider via phone number 5166391463. The mailing address for Susan Mazzola is 236 W End Ave, Massapequa, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Mazzola |
|---|---|
| Address | 236 W End Ave, Massapequa, New York |
| Phone Number | 5166391463 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSWR |
NPI Number Detail
| NPI Number | 1972636728 |
|---|---|
| Provider Enumeration Date | 2007-03-13 |
| Last Updated Date | 2015-07-16 |
Provider Mailing Address Detail
| Address | 236 W End Ave |
|---|---|
| City | Massapequa |
| State | New York (NY) |
| Post Code | 117586413 |
| Phone Number | 5166391463 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | R042590 |
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Definition: 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, certif |
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What is the unique identification code assigned to Susan Mazzola by the Centers for Medicare & Medicaid Services?
The Susan Mazzola has been issued the NPI (National Provider Identifier) 1972636728. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Susan Mazzola is located?
The Susan Mazzola is situated at the following address: 236 W End Ave, Massapequa, NY, 117586413.
What is the Susan Mazzola's specialty and taxonomy code?
The Susan Mazzola's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date was the 1972636728 assigned to Susan Mazzola?
The Susan Mazzola was issued its 1972636728 on 2007-03-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Susan Mazzola last refreshed?
The information related to the Susan Mazzola, including its address, specialty, and other relevant details, was last updated on 2015-07-16.