Jill Sarah Zimmerman, M.S.W., LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1318 Issued in CO

Practice address

48 E. Beaver Creek Blvd.
Ste. 209
Avon, CO 81620

Phone

(970) 949-0404

Fax

(970) 479-0731

NPI assigned

Mar 28, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Jill Sarah Zimmerman Rutledge Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401148800000",
    "number": "1184743742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 177",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816580177",
            "telephone_number": "970-949-0404",
            "fax_number": "970-479-0731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 E. BEAVER CREEK BLVD.",
            "address_2": "STE. 209",
            "city": "AVON",
            "state": "CO",
            "postal_code": "81620",
            "telephone_number": "970-949-0404",
            "fax_number": "970-479-0731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "JILL",
        "middle_name": "SARAH",
        "name_prefix": "Ms.",
        "credential": "M.S.W., LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2014-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-001547",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "1318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "ZIMMERMAN RUTLEDGE",
            "middle_name": "SARAH",
            "prefix": "MS.",
            "credential": "M.S.W., LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Deborah Zwick, PHD

• Clinical Social Worker in Avon, CO
• Providers in Avon, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.