Active NPI
Thomas Chester Zimm, L.C.S.W
- Clinical Social Worker
- Merrionette Park, IL
National Provider Identifier
1386979102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.013395
- Practice address
- 11560 S Kedzie Ave
Merrionette Park, IL 60803-4517 - Phone
- (708) 974-5825
- NPI assigned
- Oct 13, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.013395 | IL | Primary |
Addresses
Primary practice location
11560 S Kedzie Ave
Merrionette Park, IL 60803-4517
Mailing address
11560 S Kedzie Ave
Merrionette Park, IL 60803-4517
Phone (708) 974-5825
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.013395 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Family Services | Past | Accepting new patients | |
| Nia Integrative Healing | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1841460391
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Oak Park, IL
- NPI 1063981207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690156800000",
"number": "1386979102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11560 S KEDZIE AVE",
"city": "MERRIONETTE PARK",
"state": "IL",
"postal_code": "608034517",
"telephone_number": "708-974-5825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11560 S KEDZIE AVE",
"city": "MERRIONETTE PARK",
"state": "IL",
"postal_code": "608034517",
"telephone_number": "708-974-5825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMM",
"first_name": "THOMAS",
"middle_name": "CHESTER",
"name_prefix": "Mr.",
"credential": "L.C.S.W",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-13",
"last_updated": "2023-07-24",
"certification_date": "2023-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.013395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merrionette Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.