Provider Demographics
NPI:1023651122
Name:LINDSEY, ZELRECKA SHIRLJANEA (LCSW)
Entity type:Individual
Prefix:
First Name:ZELRECKA
Middle Name:SHIRLJANEA
Last Name:LINDSEY
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 1:517 S 8TH ST # 2
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360-4706
Mailing Address - Country:US
Mailing Address - Phone:856-213-0302
Mailing Address - Fax:
Practice Address - Street 1:517 S 8TH ST # 2
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-4706
Practice Address - Country:US
Practice Address - Phone:856-213-0302
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-21
Last Update Date:2019-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
44SC058157001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty