Provider Demographics
NPI:1447442918
Name:FOLTS, ZOE TERESA (MSW, LCSW)
Entity type:Individual
Prefix:MS
First Name:ZOE
Middle Name:TERESA
Last Name:FOLTS
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1479
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34230-1479
Mailing Address - Country:US
Mailing Address - Phone:602-697-0453
Mailing Address - Fax:480-393-7054
Practice Address - Street 1:1350 5TH ST UNIT 306
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34236-5142
Practice Address - Country:US
Practice Address - Phone:602-697-0453
Practice Address - Fax:480-393-7054
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-17
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW-06131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ85138Medicare PIN