Healthcare Provider Details

I. General information

NPI: 1164193660
Provider Name (Legal Business Name): LORI ZASPEL LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2021
Last Update Date: 09/23/2021
Certification Date: 09/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

760 MILES RD # 1159
WEST CHESTER PA
19380-1950
US

IV. Provider business mailing address

700 S 51ST ST
PHILADELPHIA PA
19143-1633
US

V. Phone/Fax

Practice location:
  • Phone: 610-429-3477
  • Fax:
Mailing address:
  • Phone: 302-897-3932
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW021992
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: