Provider Demographics
NPI:1881171114
Name:ZANNOTTI, JOANNE (LICSW)
Entity type:Individual
Prefix:
First Name:JOANNE
Middle Name:
Last Name:ZANNOTTI
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 MIDGLEY LN
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01604-3562
Mailing Address - Country:US
Mailing Address - Phone:774-420-4770
Mailing Address - Fax:
Practice Address - Street 1:38 MIDGLEY LN
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01604-3562
Practice Address - Country:US
Practice Address - Phone:774-420-4770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-19
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA103839104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker