Individual
MR. DANIEL E ZIETCHICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2240 CHURCH ROAD, TOMS RIVER, NJ 08753-8152
(732) 255-1220
(732) 255-1220
Mailing address
2240 CHURCH ROAD, TOMS RIVER, NJ 08753-8152
(732) 255-1220
(732) 255-1220
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC00352900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
053396000
MAGELLAN
NJ
01
—
11235214
CAQH
NJ
Enumeration date
01/11/2007
Last updated
04/09/2010
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