Provider Demographics
NPI:1902364615
Name:ZAKRZEWSKI, JANE CLAY (LCSW)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:CLAY
Last Name:ZAKRZEWSKI
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 1:1111 STRATFORD AVE
Mailing Address - Street 2:
Mailing Address - City:MELROSE PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-3028
Mailing Address - Country:US
Mailing Address - Phone:215-783-8553
Mailing Address - Fax:
Practice Address - Street 1:SPRINGFIELD PSYCHOLOGICAL
Practice Address - Street 2:1420 WALNUT ST. SUITE 1500
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19120
Practice Address - Country:US
Practice Address - Phone:610-544-2100
Practice Address - Fax:610-604-9510
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-12
Last Update Date:2019-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0199701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical