Provider Demographics
NPI:1316738412
Name:ZIEREIS, EMILY MAE (LSW)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:MAE
Last Name:ZIEREIS
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 W REVERE AVE
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08225-1717
Mailing Address - Country:US
Mailing Address - Phone:609-464-3639
Mailing Address - Fax:
Practice Address - Street 1:222 W REVERE AVE
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08225-1717
Practice Address - Country:US
Practice Address - Phone:609-464-3639
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL07168700104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker