Individual provider Active NPI

Kimberly Dione Zimmer, LCSW

  • Clinical Social Worker
  • Warrendale, PA
National Provider Identifier
1568010254
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW020656 Issued in PA
Practice address
1 Williamsburg PL Ste G2
Warrendale, PA 15086-7519
Phone
(612) 802-7625
NPI assigned
Aug 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW020656 PA Primary
Mental Health Counselor 101YM0800X CW020656 PA
Clinical Social Worker 1041C0700X I.2608351 OH

Addresses

Primary practice location

1 Williamsburg PL Ste G2
Warrendale, PA 15086-7519

Mailing address

1 Williamsburg PL Ste G2
Warrendale, PA 15086-7519
Phone (612) 802-7625

Other practice location 1

470 Olde Worthington Rd Ste 200
Westerville, OH 43082-9127
Phone (888) 500-2067

Other practice location 2

119 S Burrowes St Ste 604
State College, PA 16801-3864
Phone (888) 500-2067

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20190926000254 PA Practitioner - Clinical Social Worker 9830429323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathways Human Services of Pennsylvania, LLCGroup PAC ID 0941610091, 20 clinicians

Practice addresses (Care Compare)

150 Pleasant Dr
Suite 201
Aliquippa, PA 15001-1360
Phone (724) 888-2097

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Warrendale Wellness LLC Current Accepting new patients

Locations

1 Williamsburg Pl
Ste G2
Warrendale, PA 15086
Phone (216) 282-7355

Organizations & group practices 2

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": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1568010254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WILLIAMSBURG PL STE G2",
            "city": "WARRENDALE",
            "state": "PA",
            "postal_code": "150867519",
            "telephone_number": "612-802-7625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WILLIAMSBURG PL STE G2",
            "city": "WARRENDALE",
            "state": "PA",
            "postal_code": "150867519",
            "telephone_number": "612-802-7625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "470 Olde Worthington Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430829127",
            "country_code": "US",
            "telephone_number": "888-500-2067",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 S Burrowes St Ste 604",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168013864",
            "country_code": "US",
            "telephone_number": "888-500-2067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIMMER",
        "first_name": "KIMBERLY",
        "middle_name": "DIONE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW020656",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "CW020656",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2608351",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrendale, PA

Sources for this page

Verify at the official NPI Registry.