Stanley A. Zuckerman, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW1219 Issued in ID

Practice address

1408 W Hays Street
Boise, ID 83702-5028

Phone

(208) 385-9200

Fax

(208) 336-7125

NPI assigned

Jul 23, 2006

Last updated

Jul 22, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2015 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Analytic Associates, PLLC

  dba Stanley Zuckerman

  • Adult Mental Health Clinic/Center
  • Boise, ID
  • NPI 1083636914
  NPD (past) Authorized official

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1194747022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 W HAYS STREET",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025028",
            "telephone_number": "208-385-9200",
            "fax_number": "208-336-7125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 W HAYS STREET",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025028",
            "telephone_number": "208-385-9200",
            "fax_number": "208-336-7125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUCKERMAN",
        "first_name": "STANLEY",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW1219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zora Neurospa, LLC
• Kassandra June Zorn
• ZRJ Inc (Idaho Spine & Sports Physical Therapy)
• Dan S Zuckerman, MD
• Norman Zuckerman, MD
• Sandra Bear Zuidema
• Lauren Zupsic
• Tomasz Zywicki, PTA

• Clinical Social Worker in Boise, ID
• Providers in Boise, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.

Verify at the official NPI Registry.