Healthcare Provider Details

I. General information

NPI: 1508770793
Provider Name (Legal Business Name): JUDE ROSENTHAL ZAHN LCSW
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 COUNTY CIR
AMHERST MA
01003-9255
US

IV. Provider business mailing address

111 COUNTY CIR MIDDLESEX
AMHERST MA
01003-9255
US

V. Phone/Fax

Practice location:
  • Phone: 413-545-2337
  • Fax:
Mailing address:
  • Phone: 413-545-2337
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLCSW2141607
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: