National Provider Identifier

Theresa A. Zugo, LCSW-R, CASAC

Theresa A. Zugo, LCSW-R, CASAC is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 922-4181.

NPI 1790951283Rochester, NYClinical Social Worker

Profile Overview

NPI
1790951283
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
May 05, 2008
Last Updated
February 24, 2011

Practice Location

  • 490 East Ridge Road
  • Rochester, NY 14621-3001

Phone: (585) 922-4181

Mailing Address

  • 1425 Portland Ave
  • Rochester, NY 14621-3001

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1790951283
Entity Type
Individual
Last Name
Zugo
First Name
Theresa
Middle Name
A.
Credential
LCSW-R, CASAC
Mailing Street Address
1425 Portland Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14621-3001
Mailing Country
US
Mailing Phone
(585) 922-4181
Practice Street Address
490 East Ridge Road
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-3001
Practice Country
US
Practice Phone
(585) 922-4181
Enumeration Date
May 05, 2008
Last Updated
February 24, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)