Provider Demographics
NPI:1396263927
Name:ZARICOR, JILL
Entity type:Individual
Prefix:
First Name:JILL
Middle Name:
Last Name:ZARICOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1533 OCEAN GARDEN ST
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-4756
Mailing Address - Country:US
Mailing Address - Phone:757-692-8871
Mailing Address - Fax:
Practice Address - Street 1:1736 S PARK CT STE 201
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-8922
Practice Address - Country:US
Practice Address - Phone:757-296-0800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-04
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical