Individual provider Active NPI

Talya Mazor, M.S.W., L.C.S.W.

  • Clinical Social Worker
  • Chapel Hill, NC
National Provider Identifier
1982837357
Registry record updated Jul 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C007295 Issued in NC
Practice address
510 Colony Woods Dr
Chapel Hill, NC 27517-7909
Phone
(919) 794-4141
Fax
(336) 450-2672
NPI assigned
Sep 1, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C007295 NC Primary

Addresses

Primary practice location

510 Colony Woods Dr
Chapel Hill, NC 27517-7909

Mailing address

510 Colony Woods Dr
Chapel Hill, NC 27517-7909
Phone (919) 794-4141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C007295NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341187200000",
    "number": "1982837357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 COLONY WOODS DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275177909",
            "telephone_number": "919-794-4141",
            "fax_number": "336-450-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 COLONY WOODS DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275177909",
            "telephone_number": "919-794-4141",
            "fax_number": "336-450-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZOR",
        "first_name": "TALYA",
        "name_prefix": "Ms.",
        "credential": "M.S.W., L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-01",
        "last_updated": "2012-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; 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.