Provider Demographics
NPI:1083317226
Name:BATTIPAGLIA, ZACHARY P (LCSW)
Entity Type:Individual
Prefix:
First Name:ZACHARY
Middle Name:P
Last Name:BATTIPAGLIA
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 CREST CT
Mailing Address - Street 2:
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-1635
Mailing Address - Country:US
Mailing Address - Phone:215-779-1946
Mailing Address - Fax:
Practice Address - Street 1:19 CREST CT
Practice Address - Street 2:
Practice Address - City:MOUNT LAUREL
Practice Address - State:NJ
Practice Address - Zip Code:08054-1635
Practice Address - Country:US
Practice Address - Phone:215-779-1946
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC061942001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical