Active NPI
Mark Huang Zinger, LSW
- Social Worker
- Champaign, IL
National Provider Identifier
1033377924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 149.018877
- Practice address
- 202 W Park Ave
Champaign, IL 61820-3929 - Phone
- (217) 373-2430
- NPI assigned
- May 28, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 149.018877 | IL | Primary |
| Social Worker | 104100000X |
Addresses
Primary practice location
202 W Park Ave
Champaign, IL 61820-3929
Mailing address
209 Dodson Dr S
Urbana, IL 61802-4503
Phone (815) 508-5701
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.018877 | IL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708646400000",
"number": "1033377924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 DODSON DR S",
"city": "URBANA",
"state": "IL",
"postal_code": "618024503",
"telephone_number": "815-508-5701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 W PARK AVE",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618203929",
"telephone_number": "217-373-2430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZINGER",
"first_name": "MARK",
"middle_name": "HUANG",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-28",
"last_updated": "2024-02-23",
"certification_date": "2024-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "149.018877",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.