Provider Demographics
NPI:1265001390
Name:WARNER, ZY ELIZABETH (MSW, CSWA)
Entity Type:Individual
Prefix:MRS
First Name:ZY
Middle Name:ELIZABETH
Last Name:WARNER
Suffix:
Gender:F
Credentials:MSW, CSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1550 SE BARBERRY AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:OR
Mailing Address - Zip Code:97338-1962
Mailing Address - Country:US
Mailing Address - Phone:503-929-3585
Mailing Address - Fax:
Practice Address - Street 1:665 WINTER ST SE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-3934
Practice Address - Country:US
Practice Address - Phone:971-599-9650
Practice Address - Fax:503-814-5700
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-22
Last Update Date:2021-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORA3519104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty