Healthcare Provider Details

I. General information

NPI: 1578186938
Provider Name (Legal Business Name): JENNIFER ZOLO MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. JENNIFER TAYLOR

II. Dates (important events)

Enumeration Date: 05/20/2020
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7610 40TH ST W STE 300
UNIVERSITY PLACE WA
98466-3834
US

IV. Provider business mailing address

7610 40TH ST W STE 300
UNIVERSITY PLACE WA
98466-3834
US

V. Phone/Fax

Practice location:
  • Phone: 253-830-6242
  • Fax:
Mailing address:
  • Phone: 253-830-6242
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: