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

Miss. Amanda Rose Mazzone, LCSW

Individual provider Social Worker · NPI 1497133979

Miss. Amanda Rose Mazzone, LCSW is a Clinical Social Worker in Ronkonkoma, New York. Qualified in 2014, 12 years ago. Practices with Janice Martin Licensed Clinical Social Worker PC, a 7-clinician group. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2015
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

58 Richmond Blvd Unit 3B
Ronkonkoma, NY 11779-3405
Phone: (631) 885-2257
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 088549 (NY)
Social Worker Taxonomy 104100000X · Licence 72094788 (NY)

Record details

NPI number1497133979
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 15, 2015
Last updated in NPPESDecember 12, 2023
Certification dateDecember 12, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Janice Martin Licensed Clinical Social Worker Pc — 7 clinicians
Accepts Medicare assignment Not indicated

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