NPIMap

Organization Active NPI

Elena Mazza, LCSW, Limited Liability Company

  • Clinical Social Worker
  • Red Bank, NJ
National Provider Identifier
1841443447
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04785100 Issued in NJ
Legal business name
ELENA MAZZA, LCSW, LIMITED LIABILITY COMPANY
Practice address
268 Broad St
Red Bank, NJ 07701-2042
Phone
(732) 663-1344
NPI assigned
Oct 28, 2008
Last updated
Oct 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Authorized official

Name
Ms. Elena Mazza, MSWNPI 1679517890
Title
Clinical Social Worker
Phone
(732) 663-1344

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC04785100 NJ Primary

Addresses

Primary practice location

268 Broad St
Red Bank, NJ 07701-2042

Mailing address

PO Box 129
Red Bank, NJ 07701-0129
Phone (732) 663-1344

National Provider Directory

National Provider Directory

Locations

268 Broad St
Red Bank, NJ 07701
Phone (732) 663-1344

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1841443447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077010129",
            "telephone_number": "732-663-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 BROAD ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012042",
            "telephone_number": "732-663-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELENA MAZZA, LCSW, LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "MAZZA",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "732-663-1344",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04785100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.