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

Nicole Mazzoleni

Individual provider Clinical Social Worker · NPI 1790401305

Nicole Mazzoleni is a Clinical Social Worker in Wausau, Wisconsin. Works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2022

Practice location Address checks out

833 S 17th Ave
Wausau, WI 54401-5301
Phone: (608) 640-9315
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1421 Kevin Dr, Kaukauna, WI 54130-1083 — (608) 640-9315

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 9929-123 (WI)

Record details

NPI number1790401305
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 14, 2022
Last updated in NPPESOctober 14, 2022
Certification dateOctober 14, 2022

Other providers in Wausau