Nompilo Loice Zibanayi

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SWIA.SC.61397952 Issued in WA

Practice address

6505 216TH St SW Ste 100
Mountlake Terrace, WA 98043-2089

Phone

(407) 657-6692

NPI assigned

Jan 16, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Nompilo Loice Shava Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1642291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1306597893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 S STATE ROAD 434 STE 1070-206",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327144811",
            "telephone_number": "407-620-6434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6505 216TH ST SW STE 100",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432089",
            "telephone_number": "407-657-6692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIBANAYI",
        "first_name": "NOMPILO",
        "middle_name": "LOICE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-16",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SWIA.SC.61397952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NOMPILO",
            "last_name": "SHAVA",
            "middle_name": "LOICE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Angela Y Yoon, MA
• Iman M Yunis, DNP
• Julia Zajac
• Tirhas Zerahaimanot, ARNP
• Karina Zhydovlenko, PHARMD
• Melissa Zimmer, RDH
• Kala Rose Zimmermann, LMP
• Amy Christa Zoloth, LMHCA, SUDP

• Clinical Social Worker in Mountlake Terrace, WA
• Providers in Mountlake Terrace, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.