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

Mr. Bryan C Hazelton, LCSWCASACBCD

Individual provider Clinical Social Worker · NPI 1639182686

Mr. Bryan C Hazelton, LCSWCASACBCD is a Clinical Social Worker in Rockville Centre, New York. Qualified in 1982, 44 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
44
Licensed in
NY
In the registry since
2006
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Practice location Address checks out

100 N Village Ave Ste 32
Rockville Centre, NY 11570-3767
Phone: (516) 678-4079
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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 R028215-1 (NY)

Record details

NPI number1639182686
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSWCASACBCD
Sole proprietorYes
NPI enumeratedAugust 14, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Rockville Centre