Provider Demographics
NPI:1831515402
Name:ZASLAV, JESSICA (MSW LCSW)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:ZASLAV
Suffix:
Gender:F
Credentials:MSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1275 YATES ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-1027
Mailing Address - Country:US
Mailing Address - Phone:303-507-0057
Mailing Address - Fax:
Practice Address - Street 1:8 E 1ST AVE STE 116
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-3982
Practice Address - Country:US
Practice Address - Phone:303-507-0057
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-06
Last Update Date:2014-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO14221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical