Provider Demographics
NPI:1558065763
Name:ZAPATA, ANGEL (LMSW)
Entity Type:Individual
Prefix:
First Name:ANGEL
Middle Name:
Last Name:ZAPATA
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:174 CALM WATER WAY
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29486-6942
Mailing Address - Country:US
Mailing Address - Phone:347-806-6312
Mailing Address - Fax:
Practice Address - Street 1:174 CALM WATER WAY
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29486-6942
Practice Address - Country:US
Practice Address - Phone:347-806-6312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-30
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC158811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical