Active NPI
Katumu Zinnah
- Clinical Social Worker
- Frederick, MD
National Provider Identifier
1558072298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 26202
- Practice address
- 5733 Magnolia Tree CT Apt C32
Frederick, MD 21703-8228 - Phone
- (301) 310-6125
- NPI assigned
- Dec 13, 2022
- Sex
- Female
- 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 | 26202 | MD | Primary |
Addresses
Primary practice location
5733 Magnolia Tree CT Apt C32
Frederick, MD 21703-8228
Mailing address
27777 Inkster Rd Ste 100
Farmington Hills, MI 48334-5312
Phone (248) 436-4400
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26202 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730937600000",
"number": "1558072298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27777 INKSTER RD STE 100",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483345312",
"telephone_number": "248-436-4400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5733 MAGNOLIA TREE CT APT C32",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217038228",
"telephone_number": "301-310-6125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZINNAH",
"first_name": "KATUMU",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-13",
"last_updated": "2024-11-07",
"certification_date": "2024-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "26202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.