Provider Demographics
NPI:1306656939
Name:ZOTTI, ALEXIS (LICSW)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:ZOTTI
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 2ND AVE NE STE 110
Mailing Address - Street 2:
Mailing Address - City:GLENWOOD
Mailing Address - State:MN
Mailing Address - Zip Code:56334-1226
Mailing Address - Country:US
Mailing Address - Phone:320-428-0744
Mailing Address - Fax:320-438-2829
Practice Address - Street 1:11 E SUPERIOR ST STE 561
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55802-2091
Practice Address - Country:US
Practice Address - Phone:320-428-0744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-07
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN316901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical