Individual provider Active NPI

Dorothy Zweibaum, LCSW

  • Clinical Social Worker
  • Norwalk, CT
National Provider Identifier
1639296809
Registry record updated Mar 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
000984 Issued in CT
Practice address
120 East Ave
2ND Floor
Norwalk, CT 06851-5703
Phone
(203) 750-9711
Fax
(203) 750-9651
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 000984 CT Primary
Mental Health Counselor 101YM0800X 000984 CT

Addresses

Primary practice location

120 East Ave
2ND Floor
Norwalk, CT 06851-5703

Mailing address

120 East Ave
2ND Floor
Norwalk, CT 06851-5703
Phone (203) 750-9711

Other identifiers 1

IdentifierTypeStateIssuer
008003511MedicaidCT

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
000984CTMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Catholic Charities of Fairfield County Inc CurrentSince Jun 11, 2023 Accepting new patients
Lifebridge Community Services, Inc CurrentSince Nov 1, 2016 Accepting new patients
State of Connecticut PastSince Jul 16, 1998 Accepting new patients
State of Connecticut Past Accepting new patients

Locations

120 East Ave
Ste 2
Norwalk, CT 06851
Phone (203) 750-9711

Interoperability endpoints

  • Direct secure messaging: dorothyzweibaum@tdh.allscriptsdirect.net

Organizations & group practices 5

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": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331510400000",
    "number": "1639296809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 EAST AVE",
            "address_2": "2ND FLOOR",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068515703",
            "telephone_number": "203-750-9711",
            "fax_number": "203-750-9651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 EAST AVE",
            "address_2": "2ND FLOOR",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068515703",
            "telephone_number": "203-750-9711",
            "fax_number": "203-750-9651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZWEIBAUM",
        "first_name": "DOROTHY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2012-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "000984",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "000984",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008003511",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; 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.