Individual provider Active NPI

Claire Nichols Zimmerman, LCSW

  • Clinical Social Worker
  • Athens, GA
National Provider Identifier
1487746376
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
003018 Issued in GA
Practice address
523 1/2 Prince Avenue
Athens, GA 30601-2450
Phone
(706) 425-8900
Fax
(706) 425-8600
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 003018 GA Primary

Addresses

Primary practice location

523 1/2 Prince Avenue
Athens, GA 30601-2450

Mailing address

523 1/2 Prince Ave
Athens, GA 30601-2450
Phone (706) 425-8900

Other names 1

  • Claire Alexis Nichols Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040812001205 GA Practitioner - Clinical Social Worker 5294708889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Huntington Rd
Suite 703
Athens, GA 30606-7214
Phone (706) 425-8900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Claire N. Zimmerman, LLC Clinical CurrentSince Feb 22, 2012 Accepting new patients
Cawb Nonpar LLC Clinical Current Accepting new patients
Counseling Associates for Well-Being LLC Clinical Current Accepting new patients
Advantage Behavioral Health Systems PastSince Nov 4, 2009 Accepting new patients

Locations

1 Huntington Rd
Ste 703
Athens, GA 30606
Phone 7064258900705

523 Prince Ave
Athens, GA 30601
Phone 7064258900102

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487746376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 1/2 PRINCE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306012450",
            "telephone_number": "706-425-8900",
            "fax_number": "706-425-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 1/2 PRINCE AVENUE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306012450",
            "telephone_number": "706-425-8900",
            "fax_number": "706-425-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "CLAIRE",
        "middle_name": "NICHOLS",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "003018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLAIRE",
            "last_name": "NICHOLS",
            "middle_name": "ALEXIS",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.