Kimberly A Zawacki, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

072750 Issued in NY

Practice address

24 Idlewild Ave
Cornwall on Hudson, NY 12520-1134

Phone

(845) 534-8009

NPI assigned

Jan 9, 2013

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Cornwall Central School District

  • Speech-Language Pathologist
  • Cornwall on Hudson, NY
  • NPI 1275879272
  NPD (past)

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357689600000",
    "number": "1346587433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 IDLEWILD AVE",
            "city": "CORNWALL ON HUDSON",
            "state": "NY",
            "postal_code": "125201134",
            "telephone_number": "845-534-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 IDLEWILD AVE",
            "city": "CORNWALL ON HUDSON",
            "state": "NY",
            "postal_code": "125201134",
            "telephone_number": "845-534-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAWACKI",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-09",
        "last_updated": "2013-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "072750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irene Vonestorff, MD
• Marie Warchol, LCSW
• Jennifer Sayegh Wilcox, MS, RDN, LDN
• Elizabeth Sarah Wingfield, CCC-SLP
• Arya Michael Yarpezeshkan

• Clinical Social Worker in Cornwall on Hudson, NY
• Providers in Cornwall on Hudson, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; 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.