Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Robert Douglas Zettervall, LISW

Individual provider Clinical Social Worker · NPI 1275730434

Mr. Robert Douglas Zettervall, LISW is a Clinical Social Worker in Albuquerque, New Mexico. Practices as a sole proprietor. Licensed in New Mexico.

Licensed in
NM
In the registry since
2007
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

6303 Indian School Rd NE Apt #307
Albuquerque, NM 87110-5328
Phone: (505) 881-4120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence X-0586 (NM)

Record details

NPI number1275730434
Entity typeIndividual (Type 1)
GenderMale
Credentials LISW
Sole proprietorYes
NPI enumeratedJune 29, 2007
Last updated in NPPESJuly 8, 2007

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