Victor Manuel Zizumbo Jr., LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6418572-3502 Issued in UT

Practice address

1034 Rsi Dr Unit Officeb
Logan, UT 84321-2203

Phone

(435) 258-8409

NPI assigned

Feb 28, 2007

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

Enrolled in UT

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 1

Specialty

Clinical Social Worker

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Better Way Counseling, LLC

  • Clinical Social Worker
  • Logan, UT
  • NPI 1235756248
  Medicare reassignment NPD Authorized official
• Family Solutions Counseling

  • Clinical Social Worker
  • Logan, UT
  • NPI 1073034823
  Medicare reassignment NPD

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1235267667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 W 470 N",
            "city": "SMITHFIELD",
            "state": "UT",
            "postal_code": "843351732",
            "telephone_number": "435-258-8409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 RSI DR UNIT OFFICEB",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843212203",
            "telephone_number": "435-258-8409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "971 S 800 W",
            "address_purpose": "LOCATION",
            "city": "Brigham City",
            "state": "UT",
            "postal_code": "843023042",
            "country_code": "US",
            "telephone_number": "435-239-8455",
            "fax_number": "435-753-0106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIZUMBO",
        "first_name": "VICTOR",
        "middle_name": "MANUEL",
        "name_suffix": "Jr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "6418572-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet L Young, SLP/A-CCC
• Nathan A Young, PT
• Steven Robert Young, MD
• Anastasia Zacher
• Daniel S Zerull I, ABO
• Ethan Zollinger

• Clinical Social Worker in Logan, UT
• Providers in Logan, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.