Provider Demographics
NPI:1922263409
Name:ZIELENSKI, JESSICA LLAMAS (LCSW)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:LLAMAS
Last Name:ZIELENSKI
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 1:63 BEAVERBROOK RD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:LINCOLN PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07035-1440
Mailing Address - Country:US
Mailing Address - Phone:201-247-3925
Mailing Address - Fax:973-694-1952
Practice Address - Street 1:63 BEAVERBROOK RD
Practice Address - Street 2:SUITE 206
Practice Address - City:LINCOLN PARK
Practice Address - State:NJ
Practice Address - Zip Code:07035-1440
Practice Address - Country:US
Practice Address - Phone:201-247-3925
Practice Address - Fax:973-694-1952
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-23
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC046975001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical