Healthcare Provider Details

I. General information

NPI: 1528564028
Provider Name (Legal Business Name): STEPHANIE HANNAH ZINGLER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2018
Last Update Date: 04/03/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 W 23RD ST STE 500
NEW YORK NY
10011-2599
US

IV. Provider business mailing address

101 E 16TH ST APT 6K
NEW YORK NY
10003-2151
US

V. Phone/Fax

Practice location:
  • Phone: 551-206-5222
  • Fax:
Mailing address:
  • Phone: 551-206-5222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number086643-2
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: