Healthcare Provider Details

I. General information

NPI: 1942511340
Provider Name (Legal Business Name): TERRENCE FRANCIS ZIELINSKI MSW, LICSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2010
Last Update Date: 06/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

324 W. SUPERIOR ST. STE. 509 HEARTLAND PCA, LLC, DBA HEARTLAND KIDS
DULUTH MN
55802
US

IV. Provider business mailing address

1700 MALL DR. HEARTLAND PCA, LLC, DBA HEARTLAND KIDS
DULUTH MN
55811
US

V. Phone/Fax

Practice location:
  • Phone: 218-727-4411
  • Fax: 218-727-4466
Mailing address:
  • Phone: 218-727-0990
  • Fax: 218-491-7050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number5347
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: