Individual provider Active NPI

Lydia Ann Zimmerman, MSW

  • Clinical Social Worker
  • Aventura, FL
National Provider Identifier
1245247691
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW10655 Issued in FL
Practice address
18181 NE 31St CT Apt 2503
Aventura, FL 33160-2679
Phone
(786) 417-1922
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW10655 FL Primary
Clinical Social Worker 1041C0700X 6801062269 MI

Addresses

Primary practice location

18181 NE 31St CT Apt 2503
Aventura, FL 33160-2679

Mailing address

18181 NE 31St CT Apt 2503
Aventura, FL 33160-2679
Phone (786) 417-1922

Other practice location 1

1201 NW 16th St
Miami, FL 33125-1624
Phone (305) 575-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801062269MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lilly1Consulting Corp CurrentSince Jun 14, 2020 Accepting new patients

Organizations & group practices 1

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1245247691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18181 NE 31ST CT APT 2503",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331602679",
            "telephone_number": "786-417-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18181 NE 31ST CT APT 2503",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331602679",
            "telephone_number": "786-417-1922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 NW 16th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331251624",
            "country_code": "US",
            "telephone_number": "305-575-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "LYDIA",
        "middle_name": "ANN",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10655",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801062269",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.