Healthcare Provider Details

I. General information

NPI: 1639003502
Provider Name (Legal Business Name): JODIE ZALEWSKI LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 MARKET ST
WAPPINGERS FALLS NY
12590-2301
US

IV. Provider business mailing address

376 NODINE ST APT 4C
HASTINGS ON HUDSON NY
10706-2847
US

V. Phone/Fax

Practice location:
  • Phone: 845-702-1042
  • Fax:
Mailing address:
  • Phone: 201-454-1768
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number110266
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: