Provider Demographics
NPI:1851617401
Name:ZAFARLOTFI, SUSAN M (LCSW, PHD)
Entity type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:M
Last Name:ZAFARLOTFI
Suffix:
Gender:
Credentials:LCSW, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13240 FIJI WAY UNIT C
Mailing Address - Street 2:
Mailing Address - City:MARINA DEL REY
Mailing Address - State:CA
Mailing Address - Zip Code:90292-7060
Mailing Address - Country:US
Mailing Address - Phone:201-906-2653
Mailing Address - Fax:
Practice Address - Street 1:13240 FIJI WAY UNIT C
Practice Address - Street 2:
Practice Address - City:MARINA DEL REY
Practice Address - State:CA
Practice Address - Zip Code:90292-7060
Practice Address - Country:US
Practice Address - Phone:201-906-2653
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-07
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SW04525800104100000X
CA977101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker