Provider Demographics
NPI:1912233529
Name:ZEEK, WILLIAM E (LMSW)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:E
Last Name:ZEEK
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 638
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NM
Mailing Address - Zip Code:87701-0638
Mailing Address - Country:US
Mailing Address - Phone:505-425-8120
Mailing Address - Fax:505-426-0190
Practice Address - Street 1:1216 9TH ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NM
Practice Address - Zip Code:87701-4055
Practice Address - Country:US
Practice Address - Phone:505-425-8120
Practice Address - Fax:505-426-0190
Is Sole Proprietor?:No
Enumeration Date:2009-11-02
Last Update Date:2012-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMM-080251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical