Healthcare Provider Details

I. General information

NPI: 1821750191
Provider Name (Legal Business Name): MEREDITH K ZAPPIA LCSW, LCADC,CCS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2021
Last Update Date: 05/02/2025
Certification Date: 05/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

705 SUMMERFIELD AVE
ASBURY PARK NJ
07712-6921
US

IV. Provider business mailing address

705 SUMMERFIELD AVE
ASBURY PARK NJ
07712-6921
US

V. Phone/Fax

Practice location:
  • Phone: 732-774-6886
  • Fax: 732-774-8809
Mailing address:
  • Phone: 732-774-6886
  • Fax: 732-774-8809

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number37LC00338100
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number44SL06462100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: