Provider Demographics
NPI:1871667626
Name:ZAGORSKI, SHIRLEY LOUISE (MSW, LCSW, QCSW)
Entity Type:Individual
Prefix:MRS
First Name:SHIRLEY
Middle Name:LOUISE
Last Name:ZAGORSKI
Suffix:
Gender:F
Credentials:MSW, LCSW, QCSW
Other - Prefix:
Other - First Name:SHIRLEY
Other - Middle Name:LOUISE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:933 N CHARLOTTE ST STE 1D
Mailing Address - Street 2:
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464-3974
Mailing Address - Country:US
Mailing Address - Phone:610-323-4673
Mailing Address - Fax:610-323-4672
Practice Address - Street 1:933 N CHARLOTTE ST STE 1D
Practice Address - Street 2:
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464-3974
Practice Address - Country:US
Practice Address - Phone:610-323-4673
Practice Address - Fax:610-323-4672
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2020-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0130841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1811926918OtherGROUP NPI-FAMILY SERVICES
PA0548890000OtherPERSONAL CHOICE (IBC) IND