Sadaya Zimmerle, L.C.S.W., MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 19879 Issued in CA

Practice address

2045 Fairmont Dr
Eden CSC
San Leandro, CA 94578-1088

Phone

(510) 667-3913

Fax

(510) 667-7711

NPI assigned

May 21, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

County of AlamedaGroup PAC ID 9739070624, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alameda County

  • Community/Behavioral Health Agency
  • Hayward, CA
  • NPI 1780716381
  Medicare reassignment Care Compare group NPD
• Alameda County

  • Community/Behavioral Health Agency
  • Hayward, CA
  • NPI 1710252978
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003025693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 FAIRMONT DR",
            "address_2": "EDEN CSC",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945781088",
            "telephone_number": "510-667-3913",
            "fax_number": "510-667-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 FAIRMONT DR",
            "address_2": "EDEN CSC",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945781088",
            "telephone_number": "510-667-3913",
            "fax_number": "510-667-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERLE",
        "first_name": "SADAYA",
        "credential": "L.C.S.W., MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 19879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carvie J Zhen
• Christopher Ren Zhu, PHARMD
• Edward Zhu
• Li Zhu, M.D.
• Tracey Zimmer, RN
• Anna Zimnoch
• Celina Zins
• Hannah Zivalic
• Marielle Zumbado
• Eugenia Shevchenko Zumwalt, D.O.

• Clinical Social Worker in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.