Active NPI
Donald Zuckerman, MSW
- Clinical Social Worker
- Washington, DC
National Provider Identifier
1164420535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC302973
- Practice address
- 3000 Connecticut Ave NW
Ste 301
Washington, DC 20008-2531 - Phone
- (202) 483-2660
- Fax
- (202) 882-6868
- NPI assigned
- Jul 11, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC302973 | DC | Primary |
Addresses
Primary practice location
3000 Connecticut Ave NW
Ste 301
Washington, DC 20008-2531
Mailing address
6827 4TH St NW
Apt 106
Washington, DC 20012-1922
Phone (202) 483-2660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2019 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC302973 | DC | MD | Clinical Social Worker |
| 09628 | MD | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493942400000",
"number": "1164420535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6827 4TH ST NW",
"address_2": "APT 106",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200121922",
"telephone_number": "202-483-2660",
"fax_number": "202-882-6868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 CONNECTICUT AVE NW",
"address_2": "STE 301",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200082531",
"telephone_number": "202-483-2660",
"fax_number": "202-882-6868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUCKERMAN",
"first_name": "DONALD",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-11",
"last_updated": "2017-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC302973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.