Provider Demographics
NPI:1922518034
Name:ZARRELLA, COLLEEN (LICSW)
Entity Type:Individual
Prefix:
First Name:COLLEEN
Middle Name:
Last Name:ZARRELLA
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 RESERVOIR DR
Mailing Address - Street 2:
Mailing Address - City:WEARE
Mailing Address - State:NH
Mailing Address - Zip Code:03281-4008
Mailing Address - Country:US
Mailing Address - Phone:603-660-6254
Mailing Address - Fax:
Practice Address - Street 1:16 ELM ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:NH
Practice Address - Zip Code:03055-4890
Practice Address - Country:US
Practice Address - Phone:603-672-5005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-03
Last Update Date:2017-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH18881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical