Provider Demographics
NPI:1235750803
Name:ZAMPELLA, MICHELLE (LCSW-R)
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:
Last Name:ZAMPELLA
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 GRUNDY PL
Mailing Address - Street 2:
Mailing Address - City:MERRICK
Mailing Address - State:NY
Mailing Address - Zip Code:11566-2712
Mailing Address - Country:US
Mailing Address - Phone:516-366-0265
Mailing Address - Fax:
Practice Address - Street 1:9 GRUNDY PL
Practice Address - Street 2:
Practice Address - City:MERRICK
Practice Address - State:NY
Practice Address - Zip Code:11566-2712
Practice Address - Country:US
Practice Address - Phone:516-366-0265
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-05
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical