Manfried Karl Zeithammel, DIPLOMATE, SOC WRK

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

034350 Issued in MI

Practice address

555 F St W
Randolph a F B, TX 78150-4536

Phone

(210) 652-5321

Fax

(210) 652-3166

NPI assigned

Nov 3, 2006

Last updated

Jan 9, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231459200000",
    "number": "1306925995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 EAGLE CREEK DR",
            "city": "FLORESVILLE",
            "state": "TX",
            "postal_code": "781149206",
            "telephone_number": "830-393-0293",
            "fax_number": "210-652-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 F ST W",
            "city": "RANDOLPH A F B",
            "state": "TX",
            "postal_code": "781504536",
            "telephone_number": "210-652-5321",
            "fax_number": "210-652-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEITHAMMEL",
        "first_name": "MANFRIED",
        "middle_name": "KARL",
        "name_prefix": "Mr.",
        "credential": "DIPLOMATE, SOC WRK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2009-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "034350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Robert Stanek, O.D.
• Leonard E. Trout III, M.D.
• Lisa Annette Ware, FNP
• Jason Wheeler, PT
• Deloria R Wilson, PH.D.
• Jay Zemeheret, LCSW

• Clinical Social Worker in Randolph AFB, TX
• Providers in Randolph AFB, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; 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.