Active NPI
Mark Zimmermann, LCSW, PLLC
- Clinical Social Worker
- Bethesda, MD
National Provider Identifier
1386005213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 081845
- Legal business name
- MARK ZIMMERMANN, LCSW, PLLC
- Practice address
- 4710 Elm St Apt W1304
Bethesda, MD 20814-3828 - Phone
- (917) 830-3463
- Fax
- (347) 715-7750
- NPI assigned
- Mar 20, 2016
- Last updated
- Nov 15, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Mueller Zimmermann, LCSW
- Title
- Owner
- Phone
- (917) 830-3463
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 081845 | NY | Primary |
Addresses
Primary practice location
4710 Elm St Apt W1304
Bethesda, MD 20814-3828
Mailing address
4710 Elm St Apt W1304
Bethesda, MD 20814-3828
Phone (917) 839-3463
Other names 1
- Mark ZImmermann
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Addiction (Substance Use Disorder) Counselor
- Bethesda, MD
- NPI 1275782179
DC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731628800000",
"number": "1386005213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4710 ELM ST APT W1304",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208143828",
"telephone_number": "917-839-3463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4710 ELM ST APT W1304",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208143828",
"telephone_number": "917-830-3463",
"fax_number": "347-715-7750"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK ZIMMERMANN, LCSW, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-20",
"last_updated": "2024-11-15",
"certification_date": "2024-11-15",
"status": "A",
"authorized_official_last_name": "ZIMMERMANN",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "MUELLER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "917-830-3463",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "081845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mark ZImmermann",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.