Kyle John Mazzola, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SL07193500 Issued in NJ

Practice address

155 County Rd Ste 12
Cresskill, NJ 07626-2200

Phone

(201) 399-7225

NPI assigned

Jan 29, 2026

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Connect Counseling & Wellness, LLC

  • Clinical Social Worker
  • Cresskill, NJ
  • NPI 1093255424
  NPD (past)
• Connect Counseling & Wellness, LLC

  • Clinical Social Worker
  • Cresskill, NJ
  • NPI 1508345257
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1769644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1093665101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 MAPLE ST",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074462429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 COUNTY RD STE 12",
            "city": "CRESSKILL",
            "state": "NJ",
            "postal_code": "076262200",
            "telephone_number": "201-399-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZOLA",
        "first_name": "KYLE",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-01-29",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL07193500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori J. Rubin LLC
• Joseph J Luciani, PH.D.
• Maria Lucibello
• Maria Conceicao Martins-Lopes, MD
• Renata Martins, PH.D.
• Samantha McElroy, MS, OTR/L
• Seth A McGowan, M.D.
• Medical Associates of Englewood, PC
• Joy F Micale, D.V.M.
• Millennium Healthcare Centers II, LLC

• All providers in Cresskill, NJ
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.