Lenise Benzina Mazyck, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904010177 Issued in VA

Practice address

6001 Lakeside Ave Ste 25
Henrico, VA 23228-5748

Phone

(804) 787-3323

NPI assigned

Jan 19, 2018

Sex

Female

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

Locations

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.

• Roots to Results Counseling, LLC.

  • Clinical Social Worker
  • Richmond, VA
  • NPI 1245729797
  NPD Authorized official

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

{
    "created_epoch": "1516320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1326556705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38964",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232311311",
            "telephone_number": "804-787-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 LAKESIDE AVE STE 25",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232285748",
            "telephone_number": "804-787-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZYCK",
        "first_name": "LENISE",
        "middle_name": "BENZINA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Michael Mayer, LCSW
• Sarah Mayfield
• Andrea L. Mayo, NP
• Edwan Tifuh Mayo, FNP-BC
• Lawanda Mayo
• Joanna Woodward McAbee, PMHNP
• Sydney Kathleen McAdams, RESIDENT LPC
• Robert McAllister
• Robert P McBride III, MD
• McCarroll and Rodgers Fostering Change LLC

• Clinical Social Worker in Henrico, VA
• Providers in Henrico, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.