=====================================================
General NPI Number Information
=====================================================
NPI Number | 1821804600
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RZ COUNSELING LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/06/2024
-----------------------------------------------------
Last Update Date | 02/25/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 440 MAIN ST STE 6
-----------------------------------------------------
City | STONEHAM
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02180-2649
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 617-221-9980
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 330 MAIN ST APT 2
-----------------------------------------------------
City | MEDFORD
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02155-6174
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 617-221-9980
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CLINICAL SOCIAL WORKER
-----------------------------------------------------
Name | REBECCA ZAFRAN
-----------------------------------------------------
Credential | LICSW
-----------------------------------------------------
Telephone | 617-221-9980
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------