Provider Demographics
NPI:1265480529
Name:ZOOB, ELIZABETH G (LICSW)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:G
Last Name:ZOOB
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 ARBOROUGH RD
Mailing Address - Street 2:
Mailing Address - City:ROSLINDALE
Mailing Address - State:MA
Mailing Address - Zip Code:02131-1601
Mailing Address - Country:US
Mailing Address - Phone:617-327-2883
Mailing Address - Fax:
Practice Address - Street 1:47 ARBOROUGH RD
Practice Address - Street 2:
Practice Address - City:ROSLINDALE
Practice Address - State:MA
Practice Address - Zip Code:02131-1601
Practice Address - Country:US
Practice Address - Phone:617-333-8394
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-05
Last Update Date:2019-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1038401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA103840OtherSOCIAL WORK LICENSE
P02349Medicare ID - Type Unspecified