Provider Demographics
NPI:1457522534
Name:ZECCHINI, VIRGINIA JOSEPHINE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:VIRGINIA
Middle Name:JOSEPHINE
Last Name:ZECCHINI
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 1:47 COLLEGE ST
Mailing Address - Street 2:SUITE 212
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06510-3209
Mailing Address - Country:US
Mailing Address - Phone:203-737-2721
Mailing Address - Fax:203-785-6860
Practice Address - Street 1:40 TEMPLE ST
Practice Address - Street 2:SUITE 7C
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510-2715
Practice Address - Country:US
Practice Address - Phone:203-737-2721
Practice Address - Fax:203-785-6860
Is Sole Proprietor?:No
Enumeration Date:2008-03-17
Last Update Date:2009-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT03-6231721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical