Healthcare Provider Details

I. General information

NPI: 1619779592
Provider Name (Legal Business Name): JENNIFER ZUCCONE LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2025
Last Update Date: 03/24/2025
Certification Date: 03/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1169 HILLTOP PKWY UNIT 206A
STEAMBOAT SPRINGS CO
80487-3176
US

IV. Provider business mailing address

1169 HILLTOP PKWY UNIT 206A
STEAMBOAT SPRINGS CO
80487-3176
US

V. Phone/Fax

Practice location:
  • Phone: 970-761-2148
  • Fax:
Mailing address:
  • Phone: 602-820-5193
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLSW.0009922457
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: