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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

CAROL A ZANCANELLA, LCSW
965 SW EMKAY DR STE 200
BEND, OR97702-3598
 Phone: 541-410-4374
 Fax: 541-678-5972
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for CAROL A ZANCANELLA · (Female)

NPI Number 1164538336
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 08/21/2006
Last updated 12/31/2012 - About 4 years ago
Sole proprietor 1 No
Identifiers
OR License # L2638
OR Medicare PIN R162950
Hospital affiliation(s) n/a
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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