Provider Demographics
NPI:1073383956
Name:ZAGURSKY, VICTORIA LEIGH (LSW)
Entity Type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:LEIGH
Last Name:ZAGURSKY
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:MS
Other - First Name:VICTORIA
Other - Middle Name:LEIGH
Other - Last Name:PULEO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSW
Mailing Address - Street 1:24 TRADESVILLE DR
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-2990
Mailing Address - Country:US
Mailing Address - Phone:908-705-7699
Mailing Address - Fax:
Practice Address - Street 1:24 MINE ST
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-6500
Practice Address - Country:US
Practice Address - Phone:609-257-2667
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-03
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL06912800104100000X
PASW140874104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker