Provider Demographics
NPI:1306372479
Name:ZEGER, JOELE (LICSW)
Entity Type:Individual
Prefix:
First Name:JOELE
Middle Name:
Last Name:ZEGER
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 1:1 DEVONSHIRE PL
Mailing Address - Street 2:APT 1412
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02109-3510
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1 DEVONSHIRE PL
Practice Address - Street 2:APT 1412
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02109-3510
Practice Address - Country:US
Practice Address - Phone:508-776-5696
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-10
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1200501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical