Individual
MRS. CHARLOTTE ZELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
167 DWIGHT RD, SUITE 205, LONGMEADOW, MA 01106-1674
(413) 567-6200
(413) 567-4655
Mailing address
93 JONQUIL LN, LONGMEADOW, MA 01106-2240
(413) 567-6473
(413) 567-4655
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
113220
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000031915
BOSTON MEDICAL CENTER
MA
01
—
1859820
MASS HEALTH
MA
01
—
2246032
CIGNA
MA
01
—
37175
HEALTH NEW ENGLAND
MA
01
—
499948
TUFTS
MA
01
—
7834786
AETNA
MA
01
—
PO8561
BLUE CROSS BLUE SHIELD MA
MA
Enumeration date
09/24/2006
Last updated
09/06/2012
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