Provider Demographics
NPI:1124357470
Name:ZWARICH, JENNIFER ANN (LCSW-C)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:ANN
Last Name:ZWARICH
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:8370 COURT AVE
Mailing Address - Street 2:WINDING ROAD COUNSELING, SUITE 201
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21043-4688
Mailing Address - Country:US
Mailing Address - Phone:443-618-8947
Mailing Address - Fax:443-769-1195
Practice Address - Street 1:8370 COURT AVE
Practice Address - Street 2:WINDING ROAD COUNSELING, SUITE 201
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21043-4688
Practice Address - Country:US
Practice Address - Phone:443-618-8947
Practice Address - Fax:443-769-1195
Is Sole Proprietor?:No
Enumeration Date:2009-12-16
Last Update Date:2015-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD132941041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool