Provider Demographics
NPI:1790014041
Name:WORRELL, ZOE A (LCSW-C)
Entity Type:Individual
Prefix:
First Name:ZOE
Middle Name:A
Last Name:WORRELL
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 W PATRICK ST
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-4028
Mailing Address - Country:US
Mailing Address - Phone:301-712-9015
Mailing Address - Fax:301-846-4915
Practice Address - Street 1:620 W PATRICK ST
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-4028
Practice Address - Country:US
Practice Address - Phone:301-712-9015
Practice Address - Fax:301-846-4915
Is Sole Proprietor?:No
Enumeration Date:2009-12-16
Last Update Date:2009-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD132191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical