MEDICARE: MRS. SHIRLEY LOUISE ZAGORSKI MSW, LCSW, QCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	CW013084	PA

General Provider Information

NPI Number	:	1871667626
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHIRLEY LOUISE ZAGORSKI MSW, LCSW, QCSW

Provider Business Mailing Address
First Line	:	933 N CHARLOTTE ST STE 1D
Second Line	:
City	:	POTTSTOWN
State	:	PA
Zip	:	19464-3974
Country	:	US
Telephone Number	:	610-323-4673
Fax Number	:	610-323-4672

Provider Business Practice Location Address
First Line	:	933 N CHARLOTTE ST STE 1D
Second Line	:
City	:	POTTSTOWN
State	:	PA
Zip	:	19464-3974
Country	:	US
Telephone Number	:	610-323-4673
Fax Number	:	610-323-4672

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/20/2006
Last Update Date	:	05/04/2020

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