Provider Demographics
NPI:1992850911
Name:ZEIZEL, JEFFREY HOWARD (LICSW MSW)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:HOWARD
Last Name:ZEIZEL
Suffix:
Gender:M
Credentials:LICSW MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 BALDWIN GREEN COMMON
Mailing Address - Street 2:SUITE 303
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801
Mailing Address - Country:US
Mailing Address - Phone:781-932-0257
Mailing Address - Fax:781-932-6727
Practice Address - Street 1:3 BALDWIN GREEN COMMON
Practice Address - Street 2:SUITE 303
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801
Practice Address - Country:US
Practice Address - Phone:781-932-0257
Practice Address - Fax:781-932-6727
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1041281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
337113OtherMAGELLAN
008241OtherHPHC PACIFIC CARE
MA709534OtherTUFTS
1070350OtherNEIGHBOR HEALTH
1070350OtherNEIGHBOR HEALTH