Madeleine E Zimmerman, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

115843 Issued in CA

Practice address

1342 10TH St
Santa Monica, CA 90401-1933

Phone

(213) 255-9267

NPI assigned

Apr 12, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Maddie Zimmerman Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Kinship Care and Therapy License Clinical Social Worker P.C

  • Clinical Social Worker
  • Santa Monica, CA
  • NPI 1538926084
  NPD Authorized official
• Pacific Marriage & Family Therapy Network, a Professional Corporation

  • Marriage & Family Therapist
  • Santa Monica, CA
  • NPI 1558720904
  NPD (past)

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1346982196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8605 SANTA MONICA BLVD PMB 231540",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "90069",
            "telephone_number": "805-292-0649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1342 10TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011933",
            "telephone_number": "213-255-9267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "MADELEINE",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-12",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "115843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADDIE",
            "last_name": "ZIMMERMAN",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Aleksandr Zhdan
• Li Jun Zheng, ACUPUNCTURIST
• Li Zhou, MD
• Natalie Erin Ziegler, NP
• Joseph Zikry, M.D.
• Alexandra Millicent Zindman, MD
• Thomas Mitchell Zink, MD
• Susan Zinn, LPCC, LMHC
• Zinni Nutrition
• Linda Zipper, LVN

• Social Worker in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.