Provider Demographics
NPI:1780775908
Name:ZEITLER, LYNNE ANN (LCSWLADC)
Entity type:Individual
Prefix:MS
First Name:LYNNE
Middle Name:ANN
Last Name:ZEITLER
Suffix:
Gender:F
Credentials:LCSWLADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 ROSLYN DR
Mailing Address - Street 2:
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06052-1824
Mailing Address - Country:US
Mailing Address - Phone:860-919-1589
Mailing Address - Fax:860-229-1813
Practice Address - Street 1:17 MERIDEN AVE
Practice Address - Street 2:
Practice Address - City:SOUTHINGTON
Practice Address - State:CT
Practice Address - Zip Code:06489-3227
Practice Address - Country:US
Practice Address - Phone:860-919-1589
Practice Address - Fax:860-229-1813
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0029541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT134548OtherVALUE OPTIONS INSURANCE
CT140002954CT09OtherANTHEM INSURANCE