Individual provider Active NPI

Omar Zook, LCSW

  • Clinical Social Worker
  • Hershey, PA
National Provider Identifier
1609480839
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW-000643-L Issued in PA
Practice address
527 W Chocolate Ave FL 2
Hershey, PA 17033-1663
Phone
(717) 875-6087
Fax
(570) 915-5355
NPI assigned
Sep 4, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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 CW-000643-L PA Primary

Addresses

Primary practice location

527 W Chocolate Ave FL 2
Hershey, PA 17033-1663

Mailing address

527 W Chocolate Ave FL 2
Hershey, PA 17033-1663
Phone (717) 875-6087

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

LicenseStateTypeSpecialty
CW-000643-LPAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Karen Thrush LMFT, LLC CurrentSince Dec 1, 2023 Accepting new patients

Locations

527 W Chocolate Ave
Fl 2
Hershey, PA 17033
Phone (717) 473-0057

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1609480839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 W CHOCOLATE AVE FL 2",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331663",
            "telephone_number": "717-875-6087",
            "fax_number": "570-915-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 W CHOCOLATE AVE FL 2",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331663",
            "telephone_number": "717-875-6087",
            "fax_number": "570-915-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOOK",
        "first_name": "OMAR",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW-000643-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hershey, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; 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.