Healthcare Provider Details

I. General information

NPI: 1962457820
Provider Name (Legal Business Name): GAIL ZINBERG MSW, LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

261 SOUTH ST
PITTSFIELD MA
01201-6810
US

IV. Provider business mailing address

261 SOUTH ST
PITTSFIELD MA
01201-6810
US

V. Phone/Fax

Practice location:
  • Phone: 413-499-0100
  • Fax: 413-443-1850
Mailing address:
  • Phone: 413-499-0100
  • Fax: 413-443-1850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1030944
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: