Active NPI
Norma Boltan Zuckerman
- Social Worker
- Potomac, MD
National Provider Identifier
1164589214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 0904000786
- Practice address
- 10921 Whiterim Dr
Potomac, MD 20854-1787 - Phone
- (703) 534-1031
- Fax
- (301) 983-2252
- NPI assigned
- Jan 1, 2007
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 0904000786 | Primary |
Addresses
Primary practice location
10921 Whiterim Dr
Potomac, MD 20854-1787
Mailing address
10921 Whiterim Dr
Potomac, MD 20854-1787
Phone (703) 534-1031
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 Oct 1, 2019 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246838400000",
"number": "1164589214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10921 WHITERIM DR",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208541787",
"telephone_number": "703-534-1031",
"fax_number": "301-983-2252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10921 WHITERIM DR",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208541787",
"telephone_number": "703-534-1031",
"fax_number": "301-983-2252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUCKERMAN",
"first_name": "NORMA",
"middle_name": "BOLTAN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-01",
"last_updated": "2009-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": "0904000786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Potomac, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2009; 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.