Active NPI
Mary Pat Mazda, RN MSS LCSW
- Registered Nurse
- Wayne, PA
National Provider Identifier
1073645867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN290507L
- Practice address
- 987 Old Eagle School Rd
Suite #712 BLDG K
Wayne, PA 19087 - Phone
- (610) 344-7750
- Fax
- (610) 964-8887
- NPI assigned
- Mar 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW009071L | PA | |
| Registered Nurse | 163W00000X | RN290507L | PA | Primary |
Addresses
Primary practice location
987 Old Eagle School Rd
Suite #712 BLDG K
Wayne, PA 19087
Mailing address
1206 Joshua Drive
West Chester, PA 19380
Phone (610) 344-7750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW009071L | PA | MD | Clinical Social Worker |
| RN290507L | PA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1073645867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1206 JOSHUA DRIVE",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "19380",
"telephone_number": "610-344-7750",
"fax_number": "610-964-8887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "987 OLD EAGLE SCHOOL RD",
"address_2": "SUITE #712 BLDG K",
"city": "WAYNE",
"state": "PA",
"postal_code": "19087",
"telephone_number": "610-344-7750",
"fax_number": "610-964-8887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZDA",
"first_name": "MARY PAT",
"name_prefix": "Mrs.",
"credential": "RN MSS LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW009071L",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN290507L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wayne, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.