Provider Demographics
NPI:1144001561
Name:ZAFAR, MEMONA (MSW, RCSWI)
Entity type:Individual
Prefix:MS
First Name:MEMONA
Middle Name:
Last Name:ZAFAR
Suffix:
Gender:F
Credentials:MSW, RCSWI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:478 EAST ALTAMONTE DRIVE
Mailing Address - Street 2:SUITE 108251
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701
Mailing Address - Country:US
Mailing Address - Phone:786-432-5464
Mailing Address - Fax:
Practice Address - Street 1:2450 MAITLAND CENTER PARKWAY
Practice Address - Street 2:SUITE 202
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751
Practice Address - Country:US
Practice Address - Phone:786-432-5464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-11
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker