Ellen Lee Zimmerman, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

00634 Issued in ME

Practice address

205 Ocean Ave
Portland, ME 04103-5712

Phone

(207) 773-7993

Fax

(207) 773-5512

NPI assigned

Jul 2, 2006

Sex

Female

Sole proprietor

Yes

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

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Fran Rodenburg, PH.D., Ladc,LLC

  • Adult Mental Health Clinic/Center
  • Portland, ME
  • NPI 1568249829
  NPD (past)

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1659300457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 OCEAN AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041035712",
            "telephone_number": "207-899-3675",
            "fax_number": "207-773-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 OCEAN AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041035712",
            "telephone_number": "207-773-7993",
            "fax_number": "207-773-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "ELLEN",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "00634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renchi Zhang, L. AC.
• Judith Ziegler, DO
• Morgan Leigh Ziemba, PA-C
• Eric Zimmer
• Katie-Joy Frances Dyer Zimmerman-Winslow, DO
• Kate D Zimmerman, DO
• Madolynne Zimmerman, PNP
• Michelle Zimmerman, LCSW
• Ryan C Zimmerman, PA-C
• Evan Michael Zink, MD

• Clinical Social Worker in Portland, ME
• Providers in Portland, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.