Provider Demographics
NPI:1013132984
Name:ZELLERMAIER, JUDAH (LCSW)
Entity Type:Individual
Prefix:
First Name:JUDAH
Middle Name:
Last Name:ZELLERMAIER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 55TH ST
Mailing Address - Street 2:5E
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-4256
Mailing Address - Country:US
Mailing Address - Phone:718-382-0045
Mailing Address - Fax:
Practice Address - Street 1:1401 55TH ST
Practice Address - Street 2:5E
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-4256
Practice Address - Country:US
Practice Address - Phone:718-382-0045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker