Individual provider Active NPI

Mary Jo Mazzolini, MA LSW

  • Social Worker
  • Cleveland, OH
National Provider Identifier
1194706804
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S0013800 Issued in OH
Practice address
15256 Triskett Rd
Cleveland, OH 44111-3034
Phone
(216) 839-2273
Fax
(216) 896-0735
NPI assigned
Nov 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S0013800 OH Primary

Addresses

Primary practice location

15256 Triskett Rd
Cleveland, OH 44111-3034

Mailing address

PO Box 24242
Cleveland, OH 44124-0242
Phone (216) 839-2273

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
S0013800OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Humanistic Counseling Center LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1194706804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24242",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441240242",
            "telephone_number": "216-839-2273",
            "fax_number": "216-839-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15256 TRISKETT RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441113034",
            "telephone_number": "216-839-2273",
            "fax_number": "216-896-0735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZOLINI",
        "first_name": "MARY",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "MA LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S0013800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.