Provider Demographics
NPI:1346568995
Name:ZACCARI & ASSOCIATES, LLC
Entity type:Organization
Organization Name:ZACCARI & ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:ZACCARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-421-1431
Mailing Address - Street 1:1717 N 77TH ST
Mailing Address - Street 2:SUITE 14
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85257-2238
Mailing Address - Country:US
Mailing Address - Phone:480-421-1431
Mailing Address - Fax:480-421-1436
Practice Address - Street 1:1717 N 77TH ST
Practice Address - Street 2:SUITE 14
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85257-2238
Practice Address - Country:US
Practice Address - Phone:480-421-1431
Practice Address - Fax:480-421-1436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-06
Last Update Date:2010-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW41151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty