Healthcare Provider Details

I. General information

NPI: 1477291375
Provider Name (Legal Business Name): VINCENZO ZOLFO LMSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2022
Last Update Date: 06/14/2022
Certification Date: 05/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6125 E INDIAN SCHOOL RD STE 1005
SCOTTSDALE AZ
85251-5469
US

IV. Provider business mailing address

6125 E INDIAN SCHOOL RD STE 1005
SCOTTSDALE AZ
85251-5469
US

V. Phone/Fax

Practice location:
  • Phone: 480-877-9284
  • Fax:
Mailing address:
  • Phone: 480-877-9284
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLMSW-18167
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: