Healthcare Provider Details

I. General information

NPI: 1124739743
Provider Name (Legal Business Name): NICHOLAS ZOLNIEROWSKI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/06/2022
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 G ST APT 3
TURNERS FALLS MA
01376-1023
US

IV. Provider business mailing address

20 G ST APT 3
TURNERS FALLS MA
01376-1023
US

V. Phone/Fax

Practice location:
  • Phone: 352-359-8419
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: