Active NPI
Mark M Zimmermann, LCSW-R
- Addiction (Substance Use Disorder) Counselor
- Bethesda, MD
National Provider Identifier
1275782179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 081485
- Practice address
- 4710 Elm St Apt W1304
Bethesda, MD 20814-3828 - Phone
- (917) 830-3463
- Fax
- (347) 717-7750
- NPI assigned
- Sep 16, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R081485 | NY | |
| Clinical Social Worker | 1041C0700X | 081485 | NY | |
| Clinical Social Worker | 1041C0700X | 32135 | MD | |
| Clinical Social Worker | 1041C0700X | LC200003450 | DC | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 081485 | NY | Primary |
Addresses
Primary practice location
4710 Elm St Apt W1304
Bethesda, MD 20814-3828
Mailing address
4710 Elm St Apt W1304
Bethesda, MD 20814-3828
Phone (917) 830-3463
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100492058 | Medicaid | MD | |
| 1386005213 | Other | NY | NPI |
| 03366314 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2009
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
7116 Grand Ave
Maspeth, NY 11378-1823
Phone (718) 307-1577
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 081485 | NY | MD | Addiction (Substance Use Disorder) Counselor |
| 32135 | MD | MD | Clinical Social Worker |
| R081485 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Point Medical PC | Clinical | Current | Accepting new patients |
| Good Health Psychiatric Services PC | Past | Accepting new patients |
Locations
7116 Grand Ave
Maspeth, NY 11378
Phone (718) 307-1577
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Organizations & group practices 3
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.
-
- Psychiatry Physician
- Brooklyn, NY
- NPI 1215213806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748390400000",
"number": "1275782179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4710 ELM ST APT W1304",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208143828",
"telephone_number": "917-830-3463",
"fax_number": "347-717-7750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4710 ELM ST APT W1304",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208143828",
"telephone_number": "917-830-3463",
"fax_number": "347-717-7750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMMERMANN",
"first_name": "MARK",
"middle_name": "M",
"credential": "LCSW-R",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-16",
"last_updated": "2025-05-28",
"certification_date": "2025-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R081485",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "081485",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "32135",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC200003450",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "081485",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100492058",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1386005213",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03366314",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.