Provider Demographics
NPI:1699231597
Name:ZSUFFA, ARIANA (LCSW)
Entity type:Individual
Prefix:
First Name:ARIANA
Middle Name:
Last Name:ZSUFFA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 JUDITH CT
Mailing Address - Street 2:
Mailing Address - City:EAST ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11518-1607
Mailing Address - Country:US
Mailing Address - Phone:917-623-0658
Mailing Address - Fax:
Practice Address - Street 1:8 JUDITH CT
Practice Address - Street 2:
Practice Address - City:EAST ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11518-1607
Practice Address - Country:US
Practice Address - Phone:917-623-0658
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-15
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY098818104100000X
NY089135-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker