Active NPI
Kimberly Ann Zammitt, PHD, LICSW
- Clinical Social Worker
- Mankato, MN
National Provider Identifier
1306881867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 18769
- Practice address
- 510 Long St
Suite 101
Mankato, MN 56001-4397 - Phone
- (507) 625-4884
- NPI assigned
- Jun 18, 2006
- Last updated
- May 5, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C6278 | MS | |
| Clinical Social Worker | 1041C0700X | 18769 | MN | Primary |
Addresses
Primary practice location
510 Long St
Suite 101
Mankato, MN 56001-4397
Mailing address
510 Long St
Suite 101
Mankato, MN 56001-4397
Phone (507) 625-4884
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06757864 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C6278 | MS | MD | Clinical Social Worker |
| 18769 | MN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mankato Marriage and Family Therapy Center PLC | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Mankato, MN
- NPI 1689990665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399248000000",
"number": "1306881867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 LONG ST",
"address_2": "SUITE 101",
"city": "MANKATO",
"state": "MN",
"postal_code": "560014397",
"telephone_number": "507-625-4884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 LONG ST",
"address_2": "SUITE 101",
"city": "MANKATO",
"state": "MN",
"postal_code": "560014397",
"telephone_number": "507-625-4884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAMMITT",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PHD, LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-18",
"last_updated": "2014-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MS",
"license": "C6278",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "18769",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06757864",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mankato, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.