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AUTUMN MAZZULLA
NPI 1336633825
Case Manager/Care Coordinator in Fargo, ND

Active since June 18, 2018
2624 9TH AVE S, FARGO, ND 58103(701) 298-4500(701) 298-4400 Get Directions Write a Review

NPPES record last updated: June 18, 2018. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Autumn Mazzulla NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUTUMN MAZZULLA (NPI 1336633825) is an individual case manager/care coordinator provider in Fargo, North Dakota and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1336633825
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameAUTUMN MAZZULLA
Location Address2624 9TH AVE SFargo, ND 58103
Mailing Address2624 9th Ave SFargo, ND 58103-2350 · (701) 298-4500 · Fax (701) 298-4400
Phone(701) 298-4500
Fax(701) 298-4400
Sole ProprietorNo
Enumeration DateJune 18, 2018
✔ NPI 1336633825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Also ListedTechnician, OtherTaxonomy 247200000X
2624 9TH AVE S, Fargo, ND 58103
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNY WEST
Specialist
2624 9TH AVE S
FARGO, ND 58103
Cass County (701) 298-4500
SHAYLA ZASTE TCM
Case Manager/Care Coordinator
2624 9TH AVE S
FARGO, ND 58103
Cass County (701) 595-4861
DETON HART
Counselor (Professional)
2624 9TH AVE S
FARGO, ND 58103
Cass County (701) 298-4500
VALENTINA B ASIEDU MPH, CHES
Case Manager/Care Coordinator
2624 9TH AVE S
FARGO, ND 58103
Cass County (701) 298-4959
MS. SARA L NICOLI M.ED, LAC
Counselor (Addiction (Substance Use Disorder))
2624 9TH AVE S
FARGO, ND 58103
Cass County (701) 298-4500
DALE A CARRIER LPCC
Counselor
2624 9TH AVE S
FARGO, ND 58103
Cass County (701) 298-4500
JENNIFER LEONE MULLEN LSW
Social Worker
2624 9TH AVE S
FARGO, ND 58103
Cass County (701) 298-4500
TRACY DIEDRICH
Case Manager/Care Coordinator
2624 9TH AVE S
FARGO, ND 58103
Cass County (701) 298-4500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Autumn Mazzulla's NPI number?

The NPI number for Autumn Mazzulla is 1336633825. It was assigned to this individual provider in the NPPES registry on June 18, 2018.

Where is Autumn Mazzulla located?

Autumn Mazzulla practices at 2624 9th Ave S, Fargo, ND 58103. The listed phone number is (701) 298-4500.

What is Autumn Mazzulla's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Autumn Mazzulla was last updated on June 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.