Provider Demographics
NPI:1609349091
Name:ZANOTTI, JO ANN (LMSW)
Entity Type:Individual
Prefix:MS
First Name:JO ANN
Middle Name:
Last Name:ZANOTTI
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:927 CLOVER ST
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49008-4903
Mailing Address - Country:US
Mailing Address - Phone:269-270-7006
Mailing Address - Fax:
Practice Address - Street 1:222 N KALAMAZOO MALL STE 100
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49007-3899
Practice Address - Country:US
Practice Address - Phone:269-345-0273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-08
Last Update Date:2019-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801033812104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker