Ekaterina Maza, LSW

Primary specialty

CounselorTaxonomy code 101Y00000X

License

44SL06405600 Issued in NJ

Practice address

622-624 Valley Rd Apt 5E
Montclair, NJ 07043-1462

Phone

(845) 507-6787

NPI assigned

Jul 13, 2021

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

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1902478506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 ROCKEFELLER DR",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321646974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622-624 VALLEY RD APT 5E",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431462",
            "telephone_number": "845-507-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZA",
        "first_name": "EKATERINA",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "44SL06405600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Demuro Matlosz, IBCLC
• Rosaria Matos, LCSW
• Joyce L Mauer, MSW, LCSW
• Lauren Maynard
• Valeisha Mayton
• Tochukwu G. Mbolu, MD
• Samantha McAleer
• Michael Patrick McCann, LCSW
• Kevin J McCoach, MD FACC
• Garrett McConville

• Counselor in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.