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Contact Information

PETER P MAZZELLA JR, LCSW-C
500 N. 5TH ST, MHS-1
HOT SPRINGS, SD57747
 Phone: 605-745-2000
 Fax: 605-745-2089
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for PETER P MAZZELLA JR · (Male)

NPI Number 1164520755
Status Active
Credentials LCSW-C
Entity Individual
Enumeration date 09/20/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • MD License # 05643
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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