Active NPI
Marcus Mazza, LCSW
- Clinical Social Worker
- San Francisco, CA
National Provider Identifier
1245384833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW27639
- Practice address
- 163 London St
San Francisco, CA 94112-2052 - Phone
- (415) 334-3171
- NPI assigned
- Jan 22, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | ASW20317 | CA | |
| Clinical Social Worker | 1041C0700X | LCSW27639 | CA | Primary |
Addresses
Primary practice location
163 London St
San Francisco, CA 94112-2052
Mailing address
163 London St
San Francisco, CA 94112-2052
Phone (415) 334-3171
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW20317 | CA | MD | Mental Health Counselor |
| LCSW27639 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316995200000",
"number": "1245384833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "163 LONDON ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941122052",
"telephone_number": "415-334-3171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 LONDON ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941122052",
"telephone_number": "415-334-3171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZZA",
"first_name": "MARCUS",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2011-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW20317",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW27639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.