Healthcare Provider Details

I. General information

NPI: 1699244814
Provider Name (Legal Business Name): HAILEY ZANES LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2018
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1351 FAIRVIEW BLVD STE A
DELRAN NJ
08075-1475
US

IV. Provider business mailing address

75 2ND AVE
MANASQUAN NJ
08736-3341
US

V. Phone/Fax

Practice location:
  • Phone: 208-720-1663
  • Fax:
Mailing address:
  • Phone: 208-720-1663
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC06565300
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: