Individual
LANCIE MAZZA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
414 MAIN ST, WARSAW, VA 22572-4291
(804) 333-3671
(804) 333-3657
Mailing address
9228 GEORGE WASHINGTON MEMORIAL HWY, GLOUCESTER, VA 23061-4162
(804) 693-5068
(804) 693-7407
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904004664
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190569
TRICARE
VA
01
—
2055547
CIGNA
VA
01
—
317878
HEALTHKEEPERS
VA
05
—
317878
—
VA
01
—
416429
VALUE OPTIONS
VA
01
—
7814356
AETNA
VA
01
—
O83684
SOUTHERN HEALTH
VA
05
—
O83684
—
VA
Enumeration date
04/10/2006
Last updated
07/09/2007
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