Mary K. Zwack, M.S., LADC, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT1368 Issued in MN

Practice address

2480 White Bear Ave N Ste 101
Maplewood, MN 55109-5165

Phone

(651) 770-1311

Fax

(651) 770-1879

NPI assigned

Jan 11, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1033269261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2399 ARIEL ST N",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551092203",
            "telephone_number": "651-770-1311",
            "fax_number": "651-770-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 WHITE BEAR AVE N STE 101",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551095165",
            "telephone_number": "651-770-1311",
            "fax_number": "651-770-1879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZWACK",
        "first_name": "MARY",
        "middle_name": "K.",
        "name_prefix": "Ms.",
        "credential": "M.S., LADC, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "LMFT1368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xiaopeng P Zhang, MD
• Jason Brian Ziemer, DDS
• Alisse Zignego
• Ashley Marie Zilles, D.O.
• Rachel Zilles

• Marriage & Family Therapist in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.