MR. MICHAEL J MAZUCCI-MAMBALA (NPI# 1013556158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013556158 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL J MAZUCCI-MAMBALA |
| Credential | L.C.S.W. |
| Practice Address |
510 Vonderburg Dr Suite 301 Brandon FL 33511-6072 |
| Practice Telephone | 8138811000 |
| Mailing Telephone | 8138811000 |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2020-01-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW16647 | FL | Behavioral Health & Social Service Providers |
| Street Address |
510 VONDERBURG DR SUITE 301 |
| City | BRANDON |
| State | FL |
| Zip Code | 33511-6072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710956206 | Richard J Eatroff | Specialist | 510 Vonderburg Dr, Suite 3005, Brandon, FL 33511-5980 | 2006-03-16 |
| 1720525710 | Sarah C Ortiz | Counselor | 510 Vonderburg Dr, Suite 301, Brandon, FL 33511-6072 | 2017-01-27 |
| 1679947576 | Joseph Theodore Stembler | Counselor | 510 Vonderburg Dr, #301, Brandon, FL 33511-5954 | 2015-11-17 |
| 1669866380 | Helene Dara Schwartz | Social Worker | 510 Vonderburg Dr, Suite 301, Brandon, FL 33511-5954 | 2015-03-19 |
| 1902204324 | Joseph Mushalansky | Chiropractor | 510 Vonderburg Dr, Ste 200, Brandon, FL 33511-5954 | 2014-12-17 |
| 1477962181 | Keila Mabel Fatnassi | Psychologist | 510 Vonderburg Dr, # 301, Brandon, FL 33511-5954 | 2014-08-06 |
| 1053735241 | Jennifer Chavarro Castillo | Counselor | 510 Vonderburg Dr, Suite 301, Brandon, FL 33511-5954 | 2014-02-10 |
| 1437573755 | Naomi Cadoret | Counselor | 510 Vonderburg Dr, Suite 301, Brandon, FL 33511-5954 | 2014-02-06 |
| 1568805679 | Concierge Care Tampa Bay LLC | General Practice | 510 Vonderburg Dr, Suite 213, Brandon, FL 33511-5954 | 2013-04-09 |
| 1972846814 | November Thea Church | Counselor | 510 Vonderburg Dr, Suite 301, Brandon, FL 33511-5954 | 2013-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295367555 | Ability Beyond Measures LLC. | Clinic/Center | 2705 Isabella Valley Court, Brandon, FL 33511 | 2020-02-05 |
| 1831744655 | Brandon Modern Dentistry, Pa | Dentist | 971 E. Bloomingdale Avenue, Brandon, FL 33511 | 2019-08-08 |
| 1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
| 1841842895 | Rebecca Harrelson | Counselor | 915 Oakfield Drive, Suite E, Brandon, FL 33511 | 2019-07-10 |
| 1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
| 1306303177 | Paula J Buchwald | Nurse Practitioner | 888 S. Parsons Ave, Brandon, FL 33511 | 2019-02-27 |
| 1063993996 | Ashlee Marie Shevchenko | Speech-Language Pathologist | 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 | 2018-08-28 |
| 1275023012 | Ava Cares, LLC | Assisted Living Facility | 3005 Bell Shoals Rd., Brandon, FL 33511 | 2018-05-17 |
| 1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
| 1760982987 | Suresh Lama Tamang | Counselor | 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 | 2018-02-14 |
| Find all providers in zip 33511 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323501 | Thread of Hope Counseling, LLC | Social Worker | 1219 Millennium Pkwy Ste 1007, Brandon, FL 33511-3879 | 2020-10-16 |
| 1407461296 | Grace Szeja | Social Worker | 1923 Old Sawmill Rd, Brandon, FL 33510-2225 | 2020-09-09 |
| 1033736715 | Sheena Baker Pllc | Social Worker | 1219 Millennium Pkwy Ste 109, Brandon, FL 33511-3891 | 2020-06-29 |
| 1720609647 | Inner Compass Counseling Services, LLC | Social Worker | 911 S Parsons Ave Ste B, Brandon, FL 33511-6042 | 2020-05-01 |
| 1497389282 | Evelyn Pearce-fearon | Social Worker | 1106 Nikki View Dr, Brandon, FL 33511-4868 | 2020-03-02 |
| 1487296851 | Romel Powell Santiago | Social Worker | 1210 Millennium Pkwy Ste 1030, Brandon, FL 33511-4858 | 2019-10-17 |
| 1144789637 | Toni Fletcher | Social Worker | 1661 W Government Cv, Brandon, MS 39042-2410 | 2019-03-14 |
| 1437616901 | Blue Skies Mediation and Counseling, LLC | Social Worker | 1219 Millennium Parkway, Suite 109, Brandon, FL 33511-3891 | 2019-02-21 |
| 1942771498 | Emily Buskirk Muecke | Social Worker | 1210 Millennium Pkwy Ste 1007, Brandon, FL 33511-4558 | 2018-12-10 |
| 1437624251 | Amy Baucum | Social Worker | 550 Lincolns Dr, Brandon, MS 39042-8485 | 2018-10-08 |
| Find all providers in BRANDON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.