Provider Demographics
NPI:1831559970
Name:ZAPETIS, TINA (MSW, CASAC)
Entity type:Individual
Prefix:MRS
First Name:TINA
Middle Name:
Last Name:ZAPETIS
Suffix:
Gender:F
Credentials:MSW, CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 COULTER ROAD
Mailing Address - Street 2:OUTPATIENT BEHAVIORAL HEALTH- WOODBURY 1
Mailing Address - City:CLIFTON SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:14332
Mailing Address - Country:US
Mailing Address - Phone:315-462-1050
Mailing Address - Fax:315-462-0145
Practice Address - Street 1:2 COULTER ROAD
Practice Address - Street 2:OUTPATIENT BEHAVIORAL HEALTH- WOODBURY 1
Practice Address - City:CLIFTON SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:14332
Practice Address - Country:US
Practice Address - Phone:315-462-1050
Practice Address - Fax:315-462-0145
Is Sole Proprietor?:No
Enumeration Date:2016-03-02
Last Update Date:2017-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker