Annemarie Mazzuca, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11887 Issued in MD

Practice address

30 E Padonia Rd Ste 202
Lutherville Timonium, MD 21093-2308

Phone

(443) 367-1333

NPI assigned

Nov 15, 2022

Sex

Female

Sole proprietor

No

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.

• Complete Health Wellness Group LLC

  • Clinical Social Worker
  • Severna Park, MD
  • NPI 1528705530

  Clinical

  NPD

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728691200000",
    "number": "1831807254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 SAINT CHARLES WAY UNIT E, BOX 372",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174024646",
            "telephone_number": "443-367-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E PADONIA RD STE 202",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210932308",
            "telephone_number": "443-367-1333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 W Ridgely Rd Ste 8A",
            "address_purpose": "LOCATION",
            "city": "Lutherville",
            "state": "MD",
            "postal_code": "210935124",
            "country_code": "US",
            "telephone_number": "443-367-1333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "815 Ritchie Hwy Ste 205",
            "address_purpose": "LOCATION",
            "city": "Severna Park",
            "state": "MD",
            "postal_code": "211464164",
            "country_code": "US",
            "telephone_number": "443-367-1333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAZZUCA",
        "first_name": "ANNEMARIE",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-15",
        "last_updated": "2024-10-12",
        "certification_date": "2024-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janene Elizabeth Martin, ND
• Karson Nicole Marvel, AU.D.
• Lindsey Marxen, PT
• Mather Dialysis LLC
• Tierra Raquel Maynor, LMSW
• Sarah Price McCausland
• Angel Lara McCord, LCSW-C
• Irene Janet McCrea, N.P.
• Maeve McDevitt
• Abigail McDonough, LMSW

• All providers in Lutherville Timonium, MD
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2024; 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.