Active NPI
Matthew Kent Zinkil, LCSW
- Clinical Social Worker
- Dover, DE
National Provider Identifier
1689244113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C015963
- Practice address
- 760 First Street
Dover, DE 19902 - Phone
- (302) 677-2000
- NPI assigned
- Jun 28, 2021
- Sex
- Male
- 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 | 30566 | MD | |
| Clinical Social Worker | 1041C0700X | C015963 | NC | Primary |
Addresses
Primary practice location
760 First Street
Dover, DE 19902
Mailing address
60 Belfry Dr
Felton, DE 19943-7400
Phone (302) 566-5855
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C015963 | NC | MD | Clinical Social Worker |
| 30566 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720828800000",
"number": "1689244113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 BELFRY DR",
"city": "FELTON",
"state": "DE",
"postal_code": "199437400",
"telephone_number": "302-566-5855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 FIRST STREET",
"city": "DOVER",
"state": "DE",
"postal_code": "19902",
"telephone_number": "302-677-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZINKIL",
"first_name": "MATTHEW",
"middle_name": "KENT",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-28",
"last_updated": "2024-07-13",
"certification_date": "2024-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "30566",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C015963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.