Active NPI
Lee J Zook, PHD
- Clinical Social Worker
- Manchester, IA
National Provider Identifier
1396770152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 00446
- Practice address
- 709 W Main St
Manchester, IA 52057-1526 - Phone
- (563) 927-7330
- Fax
- (563) 927-7409
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 00446 | IA | Primary |
Addresses
Primary practice location
709 W Main St
Manchester, IA 52057-1526
Mailing address
129 S Vine St
West Union, IA 52175-1354
Phone (319) 422-6267
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0091637 | Medicaid | IA | |
| 09971 | Other | IA | BCIA |
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
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delaware County Memorial Hospital | Past | Accepting new patients |
Organizations & group practices 1
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)
- Manchester, IA
- NPI 1982667929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396770152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 S VINE ST",
"city": "WEST UNION",
"state": "IA",
"postal_code": "521751354",
"telephone_number": "319-422-6267",
"fax_number": "563-927-7409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 W MAIN ST",
"city": "MANCHESTER",
"state": "IA",
"postal_code": "520571526",
"telephone_number": "563-927-7330",
"fax_number": "563-927-7409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZOOK",
"first_name": "LEE",
"middle_name": "J",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "00446",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0091637",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCIA",
"identifier": "09971",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.