MEDICARE: CARLY ZANETTI LMSW

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	6801109529	MI

General Provider Information

NPI Number	:	1972061620
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLY ZANETTI LMSW

Provider Business Mailing Address
First Line	:	155 GARFIELD AVE
Second Line	:
City	:	BATTLE CREEK
State	:	MI
Zip	:	49037-2828
Country	:	US
Telephone Number	:	269-966-1460
Fax Number	:

Provider Business Practice Location Address
First Line	:	155 GARFIELD AVE.
Second Line	:
City	:	BATTLE CREEK
State	:	MI
Zip	:	49037
Country	:	US
Telephone Number	:	269-966-1460
Fax Number	:

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

Provider Enumeration Date	:	03/12/2019
Last Update Date	:	12/11/2025

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