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MR. PHILLIP ZAGOZEWSKI
NPI 1013191964
Counselor - Addiction (Substance Use Disorder) in South Waverly, PA

Active since December 27, 2007
356 LODER ST, SOUTH WAVERLY, PA 18840(570) 882-7414(570) 888-1204 Get Directions Write a Review

NPPES record last updated: December 27, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Phillip Zagozewski NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. PHILLIP ZAGOZEWSKI (NPI 1013191964) is an individual addiction (substance use disorder) provider in South Waverly, Pennsylvania and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1013191964
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. PHILLIP ZAGOZEWSKI
Location Address356 LODER STSouth Waverly, PA 18840-2611
Mailing Address356 Loder StSouth Waverly, PA 18840-2611 · (570) 882-7414 · Fax (570) 888-1204
Phone(570) 882-7414
Fax(570) 888-1204
Sole ProprietorNo
Enumeration DateDecember 27, 2007
✔ NPI 1013191964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
356 LODER ST, South Waverly, PA 18840
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. CHARLES NIVEN LSW
Social Worker
356 LODER ST
SOUTH WAVERLY, PA 18840
Bradford County (570) 882-7414
MS. KATHLEEN MORRIS L.C.S.W
Social Worker (Clinical)
356 LODER ST
SOUTH WAVERLY, PA 18840
Bradford County (570) 882-7414
MS. CHARLENE MOYER
Social Worker
356 LODER ST
SOUTH WAVERLY, PA 18840
Bradford County (570) 882-7414
DR. MICHAEL LAVIN M.D.
Psychiatry & Neurology (Psychiatry)
356 LODER ST
SOUTH WAVERLY, PA 18840
Bradford County (570) 882-7414
MS. JULIET CAROLYN STOKE LMFT
Marriage & Family Therapist
356 LODER ST
SOUTH WAVERLY, PA 18840
Bradford County (570) 882-7414

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phillip Zagozewski's NPI number?

The NPI number for Phillip Zagozewski is 1013191964. It was assigned to this individual provider in the NPPES registry on December 27, 2007.

Where is Phillip Zagozewski located?

Phillip Zagozewski practices at 356 Loder St, South Waverly, PA 18840. The listed phone number is (570) 882-7414.

What is Phillip Zagozewski's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Phillip Zagozewski was last updated on December 27, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.