Healthcare Provider Details

I. General information

NPI: 1023448958
Provider Name (Legal Business Name): STEVEN ZOGRAFOS LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/13/2013
Last Update Date: 11/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 3RD ST #401
JERSEY CITY NJ
07302-2861
US

IV. Provider business mailing address

225 3RD ST #401
JERSEY CITY NJ
07302-2861
US

V. Phone/Fax

Practice location:
  • Phone: 201-888-1018
  • Fax: 201-239-0130
Mailing address:
  • Phone: 201-888-1018
  • Fax: 201-239-0130

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC04310200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: