Callia Zimmerman Licsw Ladc LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CALLIA ZIMMERMAN LICSW LADC LLC

Doing business as

Birch Grove Therapy

Practice address

56 W Twin Oaks Ter Ste 3
South Burlington, VT 05403-7138

Phone

(802) 393-8167

NPI assigned

Sep 26, 2019

Last updated

Sep 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Callia Zimmerman, LICSW LADCNPI 1821331463

Title

Owner

Phone

(802) 393-8167

Specialties & licenses 1

Addresses

Other names 1

• Birch Grove Therapy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Callia Emily Lapin Zimmerman, LICSW, LADC

  • Clinical Social Worker
  • South Burlington, VT
  • NPI 1821331463
  Authorized official Same address or phone

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1285285650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8114",
            "city": "ESSEX",
            "state": "VT",
            "postal_code": "054518114",
            "telephone_number": "802-393-8167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 W TWIN OAKS TER STE 3",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037138",
            "telephone_number": "802-393-8167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALLIA ZIMMERMAN LICSW LADC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-26",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "CALLIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-393-8167",
        "authorized_official_credential": "LICSW LADC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Birch Grove Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kim M Bushey, L.A.D.C.
• Lynn Ann Butler-Dube, LCMHC, LADC, ATR-BC
• Jonathon Cahoon, PA-C
• Anthony Calderon, PHARMD
• Amy Caldwell, NCC, LCMHC
• Eliza Callwood, DMD
• Tracey Campbell, NP
• Amy D Candon, PT
• Molly Caner, RN
• Cannizzaro Physical Therapy, PLC

• Clinical Social Worker in South Burlington, VT
• Providers in South Burlington, VT by specialty
• Clinical Social Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.