Jacqueline Zumach, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LMSW-19206 Issued in AZ

Practice address

8765 W Kelton LN BLDG B3
Peoria, AZ 85382-3584

Phone

(602) 613-0403

NPI assigned

Oct 23, 2024

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

Practice roles

Locations

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.

• DK Counseling and Clinical Supervision, LLC

  • Adult Mental Health Clinic/Center
  • Peoria, AZ
  • NPI 1972326973
  NPD

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

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1679394407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17602 N 61ST AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8765 W KELTON LN BLDG B3",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853823584",
            "telephone_number": "602-613-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUMACH",
        "first_name": "JACQUELINE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-23",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "LMSW-19206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip Zink
• Zjra, PLLC
• ZJRD, LLC
• Zoe Integrated Health
• Ivana Zovkic-Tarr
• Michelle Zyla, MSN APRN, PMHNP-BC
• Abrianna Zylstra

• Social Worker in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.

Verify at the official NPI Registry.