Susan Zimmerman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R02567 Issued in NY

Practice address

80-44 190 St
Jamaica Estates, NY 11423

Phone

(718) 479-6699

Fax

(718) 776-6551

NPI assigned

Jun 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649476151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80-44 190 ST",
            "city": "JAMAICA ESTATES",
            "state": "NY",
            "postal_code": "11423",
            "telephone_number": "718-479-6699",
            "fax_number": "718-776-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80-44 190 ST",
            "city": "JAMAICA ESTATES",
            "state": "NY",
            "postal_code": "11423",
            "telephone_number": "718-479-6699",
            "fax_number": "718-776-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R02567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia Patricia Richardson-Byam
• Eleonora Rubin, MD
• Krishnamoorthy Subramaniam, D.D.S.
• Sean Leonard Thompson, M.D.
• Union Medical Care, PLLC

• Clinical Social Worker in Jamaica Estates, NY
• Providers in Jamaica Estates, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.