Provider Demographics
NPI:1033936406
Name:MAZZARELLA, CAITLIN JEWELL (MSW)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:JEWELL
Last Name:MAZZARELLA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:142 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-2306
Mailing Address - Country:US
Mailing Address - Phone:541-554-7003
Mailing Address - Fax:978-564-7541
Practice Address - Street 1:204 LAFAYETTE ST
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-4721
Practice Address - Country:US
Practice Address - Phone:978-564-7541
Practice Address - Fax:978-564-7541
Is Sole Proprietor?:No
Enumeration Date:2024-09-25
Last Update Date:2024-09-25
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy