Active NPI
Michelle Cherice Zinn, LMSW
- Social Worker
- Lake Havasu City, AZ
National Provider Identifier
1023680808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LMSW-6993
- Practice address
- 3131 Sombrero Dr
Lake Havasu City, AZ 86404-3239 - Phone
- (928) 230-7276
- NPI assigned
- Jul 12, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LMSW-6993 | AZ | Primary |
Addresses
Primary practice location
3131 Sombrero Dr
Lake Havasu City, AZ 86404-3239
Mailing address
3131 Sombrero Dr
Lake Havasu City, AZ 86404-3239
Phone (928) 230-7276
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | zinnm3@icloud.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW-6993 | AZ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626048000000",
"number": "1023680808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3131 SOMBRERO DR",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864043239",
"telephone_number": "928-230-7276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3131 SOMBRERO DR",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864043239",
"telephone_number": "928-230-7276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZINN",
"first_name": "MICHELLE",
"middle_name": "CHERICE",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-12",
"last_updated": "2021-07-12",
"certification_date": "2021-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AZ",
"license": "LMSW-6993",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "zinnm3@icloud.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "(SECURE}",
"address_1": "3131 Sombrero Dr",
"city": "Lake Havasu City",
"state": "AZ",
"country_code": "US",
"postal_code": "864043239",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lake Havasu City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.