Provider Demographics
NPI:1710045331
Name:ZEITLIN, JONATHAN H (MSW)
Entity Type:Individual
Prefix:MR
First Name:JONATHAN
Middle Name:H
Last Name:ZEITLIN
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 N ST. ASAPH ST.
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-1941
Mailing Address - Country:US
Mailing Address - Phone:703-838-4525
Mailing Address - Fax:703-838-4254
Practice Address - Street 1:720 N ST. ASAPH ST.
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-1941
Practice Address - Country:US
Practice Address - Phone:703-838-4525
Practice Address - Fax:703-838-4254
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040050841041C0700X
DC003005291041C0700X
MD042421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical