Provider Demographics
NPI:1649365511
Name:ZANONI, SYLVIA A (LCSW)
Entity type:Individual
Prefix:
First Name:SYLVIA
Middle Name:A
Last Name:ZANONI
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 1:195 MAIN ST FL 2
Mailing Address - Street 2:
Mailing Address - City:METUCHEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08840-2774
Mailing Address - Country:US
Mailing Address - Phone:908-406-4465
Mailing Address - Fax:
Practice Address - Street 1:195 MAIN ST FL 2
Practice Address - Street 2:
Practice Address - City:METUCHEN
Practice Address - State:NJ
Practice Address - Zip Code:08840-2774
Practice Address - Country:US
Practice Address - Phone:908-406-4465
Practice Address - Fax:609-619-3657
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2014-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC051938001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical