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

Nathaniel Mazza

Individual provider Clinical Social Worker · NPI 1366060097

Nathaniel Mazza is a Clinical Social Worker in Charlestown, Rhode Island. Qualified in 2020, 6 years ago. Practices with North Road Psychiatry LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
6
Licensed in
RI
In the registry since
2020
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Practice location Address checks out

4705 Old Post Rd Unit A
Charlestown, RI 02813-1842
Phone: (401) 346-7705
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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 (RI)

Record details

NPI number1366060097
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 9, 2020
Last updated in NPPESJuly 9, 2020
Certification dateJuly 9, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice North Road Psychiatry Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Charlestown