Healthcare Provider Details

I. General information

NPI: 1013312834
Provider Name (Legal Business Name): MR. JOSEPH ZAPPALA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2014
Last Update Date: 05/28/2025
Certification Date: 05/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5480 WISCONSIN AVE STE 214B
CHEVY CHASE MD
20815-3530
US

IV. Provider business mailing address

13-15 E DEER PARK DR. STE 101
GAITHERSBURG MD
20877
US

V. Phone/Fax

Practice location:
  • Phone: 240-360-1726
  • Fax:
Mailing address:
  • Phone: 240-360-1726
  • Fax: 301-625-3234

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number15561
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: