Provider Demographics
NPI:1831340256
Name:CONDON ZIELASKO, CORTNEY LYNN (MSW)
Entity type:Individual
Prefix:MRS
First Name:CORTNEY
Middle Name:LYNN
Last Name:CONDON ZIELASKO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MISS
Other - First Name:CORTNEY
Other - Middle Name:LYNN
Other - Last Name:CONDON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:248 AMHERST RD
Mailing Address - Street 2:APT S1
Mailing Address - City:SUNDERLAND
Mailing Address - State:MA
Mailing Address - Zip Code:01375-9476
Mailing Address - Country:US
Mailing Address - Phone:315-264-1126
Mailing Address - Fax:
Practice Address - Street 1:340 MAIN ST
Practice Address - Street 2:SUITE 383
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01608-1604
Practice Address - Country:US
Practice Address - Phone:508-791-4976
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-03
Last Update Date:2008-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker