NPIMap

Organization Active NPI

Gary D. Zomalt, L. C. S. W., Inc.

  • Clinical Social Worker
  • Fresno, CA
National Provider Identifier
1609918317
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L. C. S. W Issued in CA
Legal business name
GARY D. ZOMALT, L. C. S. W., INC.
Practice address
5132 N Palm Ave
P. M. B.-196
Fresno, CA 93704-2203
Phone
(559) 289-9890
Fax
(559) 261-1436
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gary D. Zomalt, LCSWNPI 1932256062
Title
Owner
Phone
(559) 289-9890

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 WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X L. C. S. W CA Primary

Addresses

Primary practice location

5132 N Palm Ave
P. M. B.-196
Fresno, CA 93704-2203

Mailing address

2512 W Scott Ave
Fresno, CA 93711-2756
Phone (559) 289-9890

Other identifiers 1

IdentifierTypeStateIssuer
1932256062OtherCANPI

Other names 1

  • 3R Counseling & Consulting Doing business as

National Provider Directory

National Provider Directory

Locations

5132 N Palm Ave
#P
Fresno, CA 93704
Phone (559) 289-9890

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609918317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 W SCOTT AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937112756",
            "telephone_number": "559-289-9890",
            "fax_number": "559-261-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5132 N PALM AVE",
            "address_2": "P. M. B.-196",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937042203",
            "telephone_number": "559-289-9890",
            "fax_number": "559-261-1436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY D. ZOMALT, L. C. S. W., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZOMALT",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-289-9890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "L. C. S. W",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1932256062",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "3R Counseling & Consulting",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.