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Deactivated NPI 1881844587 Deactivated / Inactive NPI Male Practitioner

John Allan Mazzitello , MSW, LICSW

Social Worker - Clinical • Saint Cloud, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, John Mazzitello has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 30, 2008
NPI Deactivation Date January 22, 2026
Total Practice Duration ~18 Years of Practice (2008 – 2026)

Professional Overview & Biography Verified Profile Summary

John Mazzitello, MSW, LICSW was a registered Social Worker - Clinical practicing in Saint Cloud, MN. Throughout an active medical career spanning 18 years, John Mazzitello provided care at the practice location at 1700 HILLCREST RD until profile deactivation on 2026-01-22.

Practice Location & Contact Primary Location

Practice Address

1700 Hillcrest Rd

Saint Cloud, MN 563031415

Telephone 3202525938
Fax 3202525938

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Saint Cloud, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.6 Yrs
State Avg: 15.5 Yrs
Regional Practice Density
167 Specialists

Practicing in Saint Cloud, MN (6749 Statewide)

Telehealth Adoption Rate
6.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License MN 17000

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 22, 2026

Record deactivated on January 22, 2026

NPI Profile Active September 30, 2008

NPI status registered as active in NPPES database

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Updated Practice Location September 30, 2008

Registered at 1700 HILLCREST RD, SAINT CLOUD, MN 563031415 (Tel: 3202525938)

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Updated Business Mailing Address September 30, 2008

Registered at 1700 HILLCREST RD, SAINT CLOUD, MN 563031415 (Tel: 3202525938)

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Provider Name / Credentials Updated September 30, 2008

Recorded as JOHN MAZZITELLO, MSW, LICSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2008

Social Worker (License #17000 in MN)

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Initial NPI Registration & Enumeration September 30, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1881844587
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 30, 2008
Last Update: September 30, 2008
Deactivation Date: January 22, 2026

Mailing Address

1700 Hillcrest Rd

Saint Cloud, MN 563031415

Phone: 3202525938

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.