Active NPI
Zyteldar Cobb Garzon, LCSW
- Clinical Social Worker
- Houston, TX
National Provider Identifier
1619664513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW18933
- Practice address
- 3200 Southwest Fwy Ste 2100
Houston, TX 77027-7525 - Phone
- (833) 208-7770
- NPI assigned
- Apr 20, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 111221 | TX | |
| Clinical Social Worker | 1041C0700X | SW18933 | FL | Primary |
Addresses
Primary practice location
3200 Southwest Fwy Ste 2100
Houston, TX 77027-7525
Mailing address
2261 Amberly Ave
Orlando, FL 32833-3912
Phone (904) 864-3505
Other practice location 1
3109 W Mlk Blvd Ste 350
Tampa, FL 33607-6208
Phone (833) 208-7770
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 122027000 | Medicaid | FL | |
| 1619664513 | Medicaid | TX |
Other names 1
- Zyteldar Garzon
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 |
|---|---|---|---|
| SW18933 | FL | MD | Clinical Social Worker |
| 111221 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imagine Pediatrics of Florida LLC | Past | Accepting new patients |
Interoperability endpoints
- zyteldar.cobb.garzon.1@27760.direct.athenahealth.com
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.
-
- Pediatrics Physician
- Tampa, FL
- NPI 1104542232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730419200000",
"number": "1619664513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2261 AMBERLY AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328333912",
"telephone_number": "904-864-3505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 SOUTHWEST FWY STE 2100",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770277525",
"telephone_number": "833-208-7770"
}
],
"practiceLocations": [
{
"address_1": "3109 W Mlk Blvd Ste 350",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336076208",
"country_code": "US",
"telephone_number": "833-208-7770",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COBB GARZON",
"first_name": "ZYTELDAR",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-20",
"last_updated": "2024-11-01",
"certification_date": "2024-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "111221",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW18933",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122027000",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1619664513",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ZYTELDAR",
"last_name": "GARZON",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.