MARK M ZIMMERMANN LCSW-R NPI 1275782179

NPI Information

NPI: 1275782179
Provider Name: MARK M ZIMMERMANN, LCSW-R
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

PECOS Registration: Yes

Address:
4710 ELM ST APT W1304
BETHESDA, MD
ZIP 20814
Phone: (917) 830-3463
Get Directions

Mark M Zimmermann, LCSW-R is an addiction (substance use disorder) counselor in Bethesda, MD with 15 years of experience. Mark M Zimmermann, LCSW-R NPI is 1275782179. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4710 ELM ST APT W1304
BETHESDA, MD
ZIP 20814-828
Phone: (917) 830-3463
Fax: (347) 717-7750

The NPI 1275782179 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 9/16/2008 and was last updated on 4/23/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			No
2	1041C0700X	Social Worker	Clinical	R081485	NEW YORK	No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	081485	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	03366314	MEDICAID	NEW YORK
2	1386005213	OTHER	NEW YORK	NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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