Provider Demographics
NPI:1932197829
Name:DEMMEL, ZELDA A (LCSW)
Entity Type:Individual
Prefix:
First Name:ZELDA
Middle Name:A
Last Name:DEMMEL
Suffix:
Gender:F
Credentials:LCSW
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 6227
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32314-6227
Mailing Address - Country:US
Mailing Address - Phone:850-386-1560
Mailing Address - Fax:850-386-2373
Practice Address - Street 1:211B DELTA CT
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32303-4835
Practice Address - Country:US
Practice Address - Phone:850-386-1560
Practice Address - Fax:850-385-2373
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW35281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ7229OtherBCBS PROVIDER NUMBER
FLZ7229Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER