Provider Demographics
NPI:1518090497
Name:ZEIS, ALLISON LEIGH (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:LEIGH
Last Name:ZEIS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 TOBY DR
Mailing Address - Street 2:
Mailing Address - City:SUCCASUNNA
Mailing Address - State:NJ
Mailing Address - Zip Code:07876-1819
Mailing Address - Country:US
Mailing Address - Phone:201-213-6601
Mailing Address - Fax:
Practice Address - Street 1:60 BROADWAY STE 22
Practice Address - Street 2:
Practice Address - City:DENVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07834-2756
Practice Address - Country:US
Practice Address - Phone:973-913-5279
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2018-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC053415001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical