Healthcare Provider Details

I. General information

NPI: 1497796650
Provider Name (Legal Business Name): MAUREEN R. ZORNDORF M.S.W., L.I.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DUBLIN COUNSELING CENTER 299 CRAMER CREEK COURT
DUBLIN OH
43017-2586
US

IV. Provider business mailing address

197 W SOUTH ST
WORTHINGTON OH
43085-3504
US

V. Phone/Fax

Practice location:
  • Phone: 614-889-5722
  • Fax: 614-889-9335
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI-0004760
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: