Active NPI
Darryl Robert Zitzow, PHD
- Social Worker
- Ogema, MN
National Provider Identifier
1073532230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 7173
- Practice address
- 40520 Co Hwy 34
White Earth Health Center
Ogema, MN 56569 - Phone
- (218) 983-4300
- Fax
- (218) 983-6217
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | LP4562 | MN | |
| Social Worker | 104100000X | 7173 | MN | Primary |
Addresses
Primary practice location
40520 Co Hwy 34
White Earth Health Center
Ogema, MN 56569
Mailing address
29353 No Sugarbush Road
Ogema, MN 56569
Phone (218) 983-3299
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6157953 | Other | MN | MEDICA |
| 03T99ZI | Other | MN | BCBS |
| 585241045032 | Other | MN | PREFERRED ONE |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7173 | MN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1073532230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29353 NO SUGARBUSH ROAD",
"city": "OGEMA",
"state": "MN",
"postal_code": "56569",
"telephone_number": "218-983-3299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40520 CO HWY 34",
"address_2": "WHITE EARTH HEALTH CENTER",
"city": "OGEMA",
"state": "MN",
"postal_code": "56569",
"telephone_number": "218-983-4300",
"fax_number": "218-983-6217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZITZOW",
"first_name": "DARRYL",
"middle_name": "ROBERT",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP4562",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MN",
"license": "7173",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "6157953",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "03T99ZI",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "585241045032",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ogema, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.