Active NPI
Dorothy Zweibaum, LCSW
- Clinical Social Worker
- Norwalk, CT
National Provider Identifier
1639296809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 000984
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008003511 | Medicaid | CT |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 000984 | CT | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Mental Health | Current | Accepting new patients |
| Catholic Charities of Fairfield County Inc | Current | Accepting new patients | |
| Lifebridge Community Services, Inc | Current | Accepting new patients | |
| State of Connecticut | Past | 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
- 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Danbury, CT
- NPI 1205050606
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fairfield, CT
- NPI 1750378667
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Mental Health
-
- Skilled Nursing Facility
- Rocky Hill, CT
- NPI 1205951662
-
- Psychiatric Hospital
- Bridgeport, CT
- NPI 1720013360
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.