Cameron Mazza, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089799 Issued in NY

Practice address

24 Jackson Ave
Glens Falls, NY 12801-2433

Phone

(518) 792-1071

NPI assigned

Apr 29, 2016

Last updated

Apr 20, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Glens Falls City School District

  • Nursing Care Agency
  • Glens Falls, NY
  • NPI 1568739407
  NPD (past)

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1861847618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 GURNEY LN",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128048257",
            "telephone_number": "518-796-7275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 JACKSON AVE",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128012433",
            "telephone_number": "518-792-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZA",
        "first_name": "CAMERON",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-29",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "089799",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "096021-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Anne Westfall (20/20 Optical)
• Julian Marynczak, PA
• Jamin Paul Mashaw
• Christopher Robert Mason, D.O.
• Abigail Alexis Matuszak, FNP
• Joseph MC Kay
• Harold L McAllister, LCSW
• Elizabeth Glory McAndrew, DO
• Jason R McCann, PHARM.D.
• Heather McCloud, RN

• Clinical Social Worker in Glens Falls, NY
• Providers in Glens Falls, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.