Stephanie L Zimmermann, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

68560 Issued in TX

Practice address

3000 Polar Lane, Suite 701
Cedar Park, TX 78613

Phone

(512) 436-3257

NPI assigned

Mar 8, 2010

Last updated

Dec 4, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ecohealth Therapy PLLC

  dba EcoHealth Therapy

  • Clinical Social Worker
  • Cedar Park, TX
  • NPI 1598302234
  NPD Authorized official

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1396068250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 UNIVERSITY BLVD STE 225-261",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786651001",
            "telephone_number": "512-436-3257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 POLAR LANE, SUITE 701",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "78613",
            "telephone_number": "512-436-3257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 University Blvd # 225-261",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786651001",
            "country_code": "US",
            "telephone_number": "512-436-3257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIMMERMANN",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-08",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149014389",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "IL",
            "license": "2240650",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "68560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zest Family Medicine PLLC (Pride Family Medicine)
• Zest Family Medicine PLLC (Pride Family Medicine)
• Zhctx LLC
• Lina Zhu
• Tiffany Ann Zimmerman, PT, DPT
• Zina a Eluri LLC
• Brandon Keith Zinn, DO
• Jillian Zuboy, LPC-INTERN
• Jacob Cleveland Zuvanich, M. ED., BCBA, LBA

• Clinical Social Worker in Cedar Park, TX
• Providers in Cedar Park, 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 Dec 4, 2019; 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.