Provider Demographics
NPI:1437314184
Name:ZERFOSS, PAULA D (LISW, LCSW, MSW)
Entity Type:Individual
Prefix:MS
First Name:PAULA
Middle Name:D
Last Name:ZERFOSS
Suffix:
Gender:F
Credentials:LISW, LCSW, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 CALLE DE MONTANAS
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87507-7903
Mailing Address - Country:US
Mailing Address - Phone:505-474-9299
Mailing Address - Fax:
Practice Address - Street 1:13 CALLE DE MONTANAS
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87507-7903
Practice Address - Country:US
Practice Address - Phone:505-474-9299
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-22
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMI-065041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical