Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Rudyard A Maza, LCSW

Individual provider Mental Health Counselor · NPI 1609127984

Mr. Rudyard A Maza, LCSW is a Mental Health Counselor in Forest Hills, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012
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

10470 Queens Blvd Ste 200
Forest Hills, NY 11375-3638
Phone: (718) 275-6010
Fax: (718) 275-6062
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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 087326-1 (NY)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1609127984
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 26, 2012
Last updated in NPPESFebruary 11, 2019

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