Provider Demographics
NPI:1942710405
Name:ZITTER, JEAN MARIE (LCSW)
Entity Type:Individual
Prefix:
First Name:JEAN
Middle Name:MARIE
Last Name:ZITTER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:JEAN
Other - Middle Name:M
Other - Last Name:ZITTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:11 GRANITE CT
Mailing Address - Street 2:
Mailing Address - City:SICKLERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08081-1657
Mailing Address - Country:US
Mailing Address - Phone:609-369-3733
Mailing Address - Fax:
Practice Address - Street 1:900 ROUTE 168 STE D1
Practice Address - Street 2:
Practice Address - City:TURNERSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08012-3207
Practice Address - Country:US
Practice Address - Phone:856-228-1005
Practice Address - Fax:856-228-1006
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-10
Last Update Date:2017-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC054565001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty