Healthcare Provider Details

I. General information

NPI: 1023889391
Provider Name (Legal Business Name): VALERIE JEAN ZUERCHER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2024
Last Update Date: 01/15/2024
Certification Date: 01/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 CHALKSTONE AVE
PROVIDENCE RI
02908-4728
US

IV. Provider business mailing address

25 NARRAGANSETT ST
NORTH KINGSTOWN RI
02852-1225
US

V. Phone/Fax

Practice location:
  • Phone: 401-456-4807
  • Fax:
Mailing address:
  • Phone: 401-447-8489
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberISWO1871
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: