Individual provider Active NPI

Sandra J Zimberg, LMSW

  • Clinical Social Worker
  • Dearborn, MI
National Provider Identifier
1174850820
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801073522 Issued in MI
Practice address
1800 Grindley Park St
Suite 3
Dearborn, MI 48124-2553
Phone
(248) 219-3859
NPI assigned
Nov 17, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801073522 MI Primary

Addresses

Primary practice location

1800 Grindley Park St
Suite 3
Dearborn, MI 48124-2553

Mailing address

31215 Floralview Dr S
102
Farmington Hills, MI 48331-5869

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1174850820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31215 FLORALVIEW DR S",
            "address_2": "102",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483315869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 GRINDLEY PARK ST",
            "address_2": "SUITE 3",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242553",
            "telephone_number": "248-219-3859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMBERG",
        "first_name": "SANDRA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-17",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801073522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.