Provider Demographics
NPI:1730922311
Name:ZERFAS, BOBBIE ROSE (LCSW)
Entity type:Individual
Prefix:
First Name:BOBBIE
Middle Name:ROSE
Last Name:ZERFAS
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 1:400 E PLAINFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53207-5048
Mailing Address - Country:US
Mailing Address - Phone:616-212-7817
Mailing Address - Fax:
Practice Address - Street 1:1818 N MLK DR
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53212-3640
Practice Address - Country:US
Practice Address - Phone:414-263-2029
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-13
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI8672-123104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker