Active NPI
M. Clare Zimmer, L.C.S.W.
- Clinical Social Worker
- Lafayette, LA
National Provider Identifier
1104116516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2883
- Practice address
- 435 Oaklawn Ave
Lafayette, LA 70506-3301 - Phone
- (337) 534-0989
- Fax
- (337) 534-0989
- NPI assigned
- Apr 19, 2011
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2883 | LA | Primary |
Addresses
Primary practice location
435 Oaklawn Ave
Lafayette, LA 70506-3301
Mailing address
435 Oaklawn Ave
Lafayette, LA 70506-3301
Phone (337) 534-0989
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 |
|---|---|---|---|
| 2883 | LA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303171200000",
"number": "1104116516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 OAKLAWN AVE",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705063301",
"telephone_number": "337-534-0989",
"fax_number": "337-534-0989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 OAKLAWN AVE",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705063301",
"telephone_number": "337-534-0989",
"fax_number": "337-534-0989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMMER",
"first_name": "M. CLARE",
"name_prefix": "Ms.",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-19",
"last_updated": "2011-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "2883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.