Healthcare Provider Details

I. General information

NPI: 1851258693
Provider Name (Legal Business Name): HANNAH SIOBHAN ZOLL LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

341 BROADWAY
PROVIDENCE RI
02909-1143
US

IV. Provider business mailing address

341 BROADWAY
PROVIDENCE RI
02909-1143
US

V. Phone/Fax

Practice location:
  • Phone: 401-632-2870
  • Fax:
Mailing address:
  • Phone: 401-632-2870
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberISW04703
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: