Provider Demographics
NPI:1073492153
Name:ZOCCHI, MICHAELA (LCSW-C)
Entity type:Individual
Prefix:
First Name:MICHAELA
Middle Name:
Last Name:ZOCCHI
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6935 FOX CHASE RD
Mailing Address - Street 2:
Mailing Address - City:NEW MARKET
Mailing Address - State:MD
Mailing Address - Zip Code:21774-6921
Mailing Address - Country:US
Mailing Address - Phone:240-457-2551
Mailing Address - Fax:
Practice Address - Street 1:1601 MELBOURNE RD
Practice Address - Street 2:
Practice Address - City:DUNDALK
Practice Address - State:MD
Practice Address - Zip Code:21222-3499
Practice Address - Country:US
Practice Address - Phone:240-457-2551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-02
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD271461041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool