Individual
ELENA THERESA MAZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
268 BROAD STREET, RED BANK, NJ 07701-2042
(732) 663-1344
(732) 663-1334
Mailing address
PO BOX 129, RED BANK, NJ 07701-0129
(732) 663-1344
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC04785100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019810
—
NJ
01
—
27135400
MAGELLAN
NJ
01
—
P2458807
OXFORD HEALTH PLANS
NJ
Enumeration date
06/16/2006
Last updated
08/29/2008
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