Individual provider Active NPI

Edward Zbigniew Zebrowski, M.S.W., LCSW, BCD

  • Clinical Social Worker
  • Longmont, CO
National Provider Identifier
1497847743
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
984042 Issued in CO
Practice address
1707 Main St
Suite 404
Longmont, CO 80501-7407
Phone
(303) 776-7680
Fax
(303) 776-7693
NPI assigned
Sep 28, 2006
Sex
Male
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 984042 CO Primary

Addresses

Primary practice location

1707 Main St
Suite 404
Longmont, CO 80501-7407

Mailing address

1707 Main St
Suite 404
Longmont, CO 80501-7407
Phone (303) 776-7680

Other identifiers 1

IdentifierTypeStateIssuer
07984040MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20130807000178 CO Practitioner - Clinical Social Worker 4587806369 Practice locations: Longmont, CO

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
984042COMDClinical Social Worker

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": "1497847743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 MAIN ST",
            "address_2": "SUITE 404",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805017407",
            "telephone_number": "303-776-7680",
            "fax_number": "303-776-7693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 MAIN ST",
            "address_2": "SUITE 404",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805017407",
            "telephone_number": "303-776-7680",
            "fax_number": "303-776-7693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEBROWSKI",
        "first_name": "EDWARD",
        "middle_name": "ZBIGNIEW",
        "name_prefix": "Mr.",
        "credential": "M.S.W., LCSW, BCD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "984042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07984040",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

Verify at the official NPI Registry.