Healthcare Provider Details

I. General information

NPI: 1972061620
Provider Name (Legal Business Name): CARLY ZANETTI LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2019
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 GARFIELD AVE.
BATTLE CREEK MI
49037
US

IV. Provider business mailing address

155 GARFIELD AVE
BATTLE CREEK MI
49037-2828
US

V. Phone/Fax

Practice location:
  • Phone: 269-966-1460
  • Fax:
Mailing address:
  • Phone: 269-966-1460
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801109529
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: