Healthcare Provider Details

I. General information

NPI: 1528577459
Provider Name (Legal Business Name): JESSICA ZUR-LINDEN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2017
Last Update Date: 03/17/2022
Certification Date: 03/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27 BARROW ST
NEW YORK NY
10014-3823
US

IV. Provider business mailing address

310 E 2ND ST APT 7A
NEW YORK NY
10009-8158
US

V. Phone/Fax

Practice location:
  • Phone: 212-242-4140
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number097773
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number089710
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: