Provider Demographics
NPI:1861381741
Name:ZEITLER, JAMIE (LCSW)
Entity type:Individual
Prefix:MS
First Name:JAMIE
Middle Name:
Last Name:ZEITLER
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 1:1163 MAIN ST UNIT 11
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02451-7439
Mailing Address - Country:US
Mailing Address - Phone:508-932-4017
Mailing Address - Fax:
Practice Address - Street 1:233 NEEDHAM ST STE 300
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02464-1502
Practice Address - Country:US
Practice Address - Phone:508-932-4017
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALCSW21213471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical