Healthcare Provider Details

I. General information

NPI: 1407547037
Provider Name (Legal Business Name): SHARON ZARATE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2023
Last Update Date: 05/16/2023
Certification Date: 05/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 ROUTE 17 FL 11
RUTHERFORD NJ
07070-2557
US

IV. Provider business mailing address

629 CRANBURY RD FL 2
EAST BRUNSWICK NJ
08816-4096
US

V. Phone/Fax

Practice location:
  • Phone: 201-500-4958
  • Fax: 833-993-1986
Mailing address:
  • Phone: 732-390-7750
  • Fax: 732-390-7725

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC06178800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: