Provider Demographics
NPI:1821188111
Name:ZELANO, ANTHONY (MSW)
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:
Last Name:ZELANO
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 1:23 FEDERAL ST
Mailing Address - Street 2:APT 3
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-5730
Mailing Address - Country:US
Mailing Address - Phone:978-578-8016
Mailing Address - Fax:617-248-1406
Practice Address - Street 1:251 CAUSEWAY ST
Practice Address - Street 2:SUITE 354
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2148
Practice Address - Country:US
Practice Address - Phone:617-248-1150
Practice Address - Fax:617-248-1406
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-15
Last Update Date:2013-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC00272300101Y00000X, 101YA0400X, 101YM0800X, 101YP2500X, 104100000X, 1041C0700X
MA2020439101Y00000X, 101YA0400X, 101YM0800X, 101YP2500X, 104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical