Healthcare Provider Details

I. General information

NPI: 1124357470
Provider Name (Legal Business Name): JENNIFER ANN ZWARICH LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/16/2009
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3525 ELLICOTT MILLS DR
ELLICOTT CITY MD
21043-4547
US

IV. Provider business mailing address

3525 ELLICOTT MILLS DR STE N
ELLICOTT CITY MD
21043-4622
US

V. Phone/Fax

Practice location:
  • Phone: 443-618-8947
  • Fax: 443-769-1195
Mailing address:
  • Phone: 443-618-8947
  • Fax: 443-769-1195

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number13294
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: