Provider Demographics
NPI:1710331251
Name:ZITO, RITA (LCSW)
Entity Type:Individual
Prefix:
First Name:RITA
Middle Name:
Last Name:ZITO
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:PO BOX 452
Mailing Address - Street 2:
Mailing Address - City:CUTTEN
Mailing Address - State:CA
Mailing Address - Zip Code:95534-9900
Mailing Address - Country:US
Mailing Address - Phone:707-599-0822
Mailing Address - Fax:707-269-0651
Practice Address - Street 1:3172 WALFORD AVE STE 1
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95503-4898
Practice Address - Country:US
Practice Address - Phone:707-599-0822
Practice Address - Fax:707-269-0651
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-21
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW689131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical