Provider Demographics
NPI:1265478812
Name:MOTLEY ZITIN, MAUREEN (LCSW)
Entity type:Individual
Prefix:
First Name:MAUREEN
Middle Name:
Last Name:MOTLEY ZITIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MAUREEN
Other - Middle Name:ANN
Other - Last Name:MOTLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:84 COXE AVE STE 1B
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4168
Mailing Address - Country:US
Mailing Address - Phone:828-253-5013
Mailing Address - Fax:828-253-5028
Practice Address - Street 1:84 COXE AVE STE 1B
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4168
Practice Address - Country:US
Practice Address - Phone:828-253-5013
Practice Address - Fax:828-253-5028
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2010-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0007371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC61177OtherBCBSNC GRP # 015HF
NC6003006Medicaid
NC61177OtherBCBSNC GRP # 015HF
NC6003006Medicaid