Provider Demographics
NPI:1619056876
Name:WERBLIN ZAKARIN, DAVA (LCSWR)
Entity Type:Individual
Prefix:MRS
First Name:DAVA
Middle Name:
Last Name:WERBLIN ZAKARIN
Suffix:
Gender:F
Credentials:LCSWR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 LAUREN AVENUE SOUTH
Mailing Address - Street 2:
Mailing Address - City:DIX HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11746
Mailing Address - Country:US
Mailing Address - Phone:631-274-5889
Mailing Address - Fax:631-543-8886
Practice Address - Street 1:645 COMMACK ROAD
Practice Address - Street 2:SUITE 3 SOLUTIONS COUNSELING CENTER
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725
Practice Address - Country:US
Practice Address - Phone:631-543-8877
Practice Address - Fax:631-543-8886
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR02732011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical