Zachary Dutmer, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6851117287 Issued in MI

Practice address

1010 S Garfield Ave
Traverse City, MI 49686-3434

Phone

(231) 346-5238

Fax

(231) 922-4884

NPI assigned

Feb 2, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1706832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1194588152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 S GARFIELD AVE",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863434",
            "telephone_number": "231-346-5238",
            "fax_number": "231-922-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S GARFIELD AVE",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863434",
            "telephone_number": "231-346-5238",
            "fax_number": "231-922-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUTMER",
        "first_name": "ZACHARY",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-02",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851117287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichole Dunwiddie
• Adam Duress, DC
• Shelly Durkin
• Shelly Lee Durocher, RN
• Pamela Ann Dusseau, FNP
• Keira Duvernoy, DO
• Janis Gregg Duwe, MA, LPC, NCC
• Jane Ann Dykstra, PT
• Jennifer Rebecca Dykstra, PHARM.D.
• Alycia Rae Dzierwa, FNP-C

• Clinical Social Worker in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.