Doctor Name: | LANCIE MAZZA |
NPI Number: | 1033172010 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.S.W. |
License Number: | 0904004664 |
Business Practice Address: | 414 Main St Warsaw, VA - 225724291 |
Business Phone Number: | 8043333671 |
Business Fax Number: | 8043333657 |
Mailing Address: | 9228 George Washington Memorial Hwy, GLOUCESTER |
State: | VA |
Postal Code: | 230614162 |
Phone Number: | 8046935068 |
Fax Number: | 8046937407 |
NPI Enumeration Date: | 04/10/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 0904004664 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |