Provider Demographics
NPI:1598105678
Name:ZEMAN, MELANIE ANN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:ANN
Last Name:ZEMAN
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 1:579 HAMILTON PL
Mailing Address - Street 2:
Mailing Address - City:RIVERVALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07675-5609
Mailing Address - Country:US
Mailing Address - Phone:551-804-6875
Mailing Address - Fax:
Practice Address - Street 1:210 SUMMIT AVE
Practice Address - Street 2:STE A9
Practice Address - City:MONTVALE
Practice Address - State:NJ
Practice Address - Zip Code:07645-1526
Practice Address - Country:US
Practice Address - Phone:201-781-2901
Practice Address - Fax:855-254-4181
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-03
Last Update Date:2021-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY080791-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical