Organization Active NPI

Kristie Taylor-Zimmel LCSW LLC

  • Clinical Social Worker
  • Bridgton, ME
National Provider Identifier
1598994568
Registry record updated Jul 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC11435 Issued in ME
Legal business name
KRISTIE TAYLOR-ZIMMEL LCSW LLC
Practice address
82 Main St
Bridgton, ME 04009-1128
Phone
(207) 318-4603
Fax
(207) 839-4704
NPI assigned
Jul 10, 2009
Last updated
Jul 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2009

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

Authorized official

Name
Kristie Taylor-Zimmel, LCSWNPI 1639233117
Title
Owner
Phone
(207) 318-4603

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC11435 ME Primary

Addresses

Primary practice location

82 Main St
Bridgton, ME 04009-1128

Mailing address

PO Box 232
Bridgton, ME 04009-0232
Phone (207) 318-4603

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247184000000",
    "number": "1598994568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 232",
            "city": "BRIDGTON",
            "state": "ME",
            "postal_code": "040090232",
            "telephone_number": "207-318-4603",
            "fax_number": "207-839-4704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 MAIN ST",
            "city": "BRIDGTON",
            "state": "ME",
            "postal_code": "040091128",
            "telephone_number": "207-318-4603",
            "fax_number": "207-839-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTIE TAYLOR-ZIMMEL LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-10",
        "last_updated": "2009-07-10",
        "status": "A",
        "authorized_official_last_name": "TAYLOR-ZIMMEL",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-318-4603",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC11435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgton, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.