MEDICARE: ELYSE CARA MAZZOLA LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	CW020749	PA

General Provider Information

NPI Number	:	1831735620
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELYSE CARA MAZZOLA LCSW

Provider Business Mailing Address
First Line	:	2704 BOUDWIN AVE
Second Line	:
City	:	UPPER CHICHESTER
State	:	PA
Zip	:	19061-3303
Country	:	US
Telephone Number	:	908-477-5101
Fax Number	:

Provider Business Practice Location Address
First Line	:	1001 DARBY RD FL 2
Second Line	:
City	:	HAVERTOWN
State	:	PA
Zip	:	19083-3818
Country	:	US
Telephone Number	:	908-477-5101
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/27/2019
Last Update Date	:	01/03/2020

Similar Medicare Providers

1679114466 — AMANDA THOMSON MA, LPC
Practice Location Address:

1001 DARBY RD
HAVERTOWN, PA
19083-3818

Practice Phone: 610-348-6439
Practice Fax:

1629350293 — WILLIAM FEELEY III PHD
Practice Location Address:

1001 E DARBY RD
HAVERTOWN, PA
19083-3818

Practice Phone: 888-933-3539
Practice Fax:

1174472427 — RESIDENTIAL HOME HEALTH OF CARLISLE, LLC
Practice Location Address:

28 W EAGLE RD STE 201
HAVERTOWN, PA
19083-1445

Practice Phone: 888-923-5842
Practice Fax:

1295400067 — JUSTIN MANHOFF PT, DPT
Practice Location Address:

500 E TOWNSHIP LINE RD
HAVERTOWN, PA
19083-5700

Practice Phone: 610-795-7377
Practice Fax: 610-726-1750

1669339222 — JEFFREY HIMELSTEIN MS
Practice Location Address:

1120 W TOWNSHIP LINE RD STE 101
HAVERTOWN, PA
19083-4930

Practice Phone: 267-571-0383
Practice Fax:

1902809791 — DR. LEROY FLEISCHER M.D.
Practice Location Address:

301 W CHESTER PIKE STE 201
HAVERTOWN, PA
19083-4530

Practice Phone: 610-853-2900
Practice Fax: 610-853-2980

Directions to “ ELYSE CARA MAZZOLA LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.