Provider Demographics
NPI:1336972587
Name:SOMERVILLE, ZOE (LMSW)
Entity type:Individual
Prefix:
First Name:ZOE
Middle Name:
Last Name:SOMERVILLE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2670 W DESERT BROOK CT
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85742-4476
Mailing Address - Country:US
Mailing Address - Phone:520-468-9547
Mailing Address - Fax:
Practice Address - Street 1:2670 W DESERT BROOK CT
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85742-4476
Practice Address - Country:US
Practice Address - Phone:520-468-9547
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-22
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLMSW-22011104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker