Provider Demographics
NPI:1174659296
Name:ZORACH, JULIE JENKS (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:JENKS
Last Name:ZORACH
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:ANN
Other - Last Name:JENKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LCSW
Mailing Address - Street 1:1601 CONCORD PIKE
Mailing Address - Street 2:SUITE 56-58
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19803-3612
Mailing Address - Country:US
Mailing Address - Phone:302-573-5112
Mailing Address - Fax:302-655-4027
Practice Address - Street 1:1601 CONCORD PIKE
Practice Address - Street 2:SUITE 56-58
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-3612
Practice Address - Country:US
Practice Address - Phone:302-573-5112
Practice Address - Fax:302-655-4027
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-25
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ100003711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE8600009874OtherRAILROAD MEDICARE
DE022096OtherVALUE OPTIONS
DE1000032537OtherDE PHYSICIANS CARE
DE510387238SWOtherBCBS
DE022096OtherVALUE OPTIONS
DEG01856P01Medicare ID - Type Unspecified