Provider Demographics
NPI:1619719077
Name:DAVID ZELLMER LICSW
Entity type:Organization
Organization Name:DAVID ZELLMER LICSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:ZELLMER
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:413-687-7488
Mailing Address - Street 1:435 FLORENCE RD
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01062-2668
Mailing Address - Country:US
Mailing Address - Phone:413-687-7488
Mailing Address - Fax:
Practice Address - Street 1:435 FLORENCE RD
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:MA
Practice Address - Zip Code:01062-2668
Practice Address - Country:US
Practice Address - Phone:413-687-7488
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-07
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty