Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Krysta Victoria Mazur, LICSW

Individual provider Clinical Social Worker · NPI 1275194391

Krysta Victoria Mazur, LICSW is a Clinical Social Worker in Fridley, Minnesota. Qualified in 2016, 10 years ago. Practices with Optum Behavioral Care of Colorado PC, a 197-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
10
Licensed in
MN
In the registry since
2019
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

7954 University Ave NE
Fridley, MN 55432-1860
Phone: (763) 780-3036
Fax: (763) 780-0784
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 23468 (MN)

Record details

NPI number1275194391
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJune 28, 2019
Last updated in NPPESMay 6, 2024
Certification dateMay 6, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Optum Behavioral Care Of Colorado Pc — 197 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fridley