Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Michael J Mazucci-Mambala, LCSW

Individual provider Clinical Social Worker · NPI 1013556158

Mr. Michael J Mazucci-Mambala, LCSW is a Clinical Social Worker in Brandon, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2020
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

510 Vonderburg Dr Ste 301
Brandon, FL 33511-6072
Phone: (813) 881-1000
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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 SW16647 (FL)

Record details

NPI number1013556158
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 6, 2020
Last updated in NPPESJanuary 6, 2020
Certification dateJanuary 6, 2020

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