Individual provider Active NPI

Michael J Zamrin, L.C.S.W.

  • Clinical Social Worker
  • St Petersburg, FL
National Provider Identifier
1215950811
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW013321 Issued in PA
Practice address
7900 39TH Ter N
St Petersburg, FL 33709-4234
Phone
(717) 799-3963
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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 CW013321 PA Primary

Addresses

Primary practice location

7900 39TH Ter N
St Petersburg, FL 33709-4234

Mailing address

7900 39TH Ter N
St Petersburg, FL 33709-4234
Phone (717) 799-3963

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070418000337 PA Practitioner - Clinical Social Worker 5890890974 Reassigns benefits to 1 organization
I20240411000046 FL Practitioner - Clinical Social Worker 5890890974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2395 Lancaster Pike
Reading, PA 19607-2375
Phone (717) 799-3963

7900 39TH Ter N
St Petersburg, FL 33709-4234
Phone (717) 799-3963

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW013321PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
DGR Management Inc. PastSince Jul 1, 2007 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1215950811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 39TH TER N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337094234",
            "telephone_number": "717-799-3963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 39TH TER N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337094234",
            "telephone_number": "717-799-3963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMRIN",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.