Stephen Zimmer, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

PR020325 Issued in NY

Practice address

61 8TH Ave
Brooklyn, NY 11217-3912

Phone

(917) 747-0905

NPI assigned

Mar 7, 2023

Sex

Male

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

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": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1699475871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41",
            "city": "BEARSVILLE",
            "state": "NY",
            "postal_code": "124090041",
            "telephone_number": "917-747-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 8TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173912",
            "telephone_number": "917-747-0905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "85 Coldbrook Rd",
            "address_purpose": "LOCATION",
            "city": "Bearsville",
            "state": "NY",
            "postal_code": "124091240",
            "country_code": "US",
            "telephone_number": "917-747-0905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIMMER",
        "first_name": "STEPHEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR020325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nora Zimbler
• Molly Zimetbaum, LCSW
• Bella Zimilevich, M.D.
• Vladislav Nick Zimin, MD, PHD
• Tal Joseph Zimm, OTR/L
• Aaron Zimmerman
• Alyssa Zimmerman
• Andrew Wayne Zimmerman, LCSW
• Camille Marie Zimmerman
• David Zimmerman, PHARMD

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, 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 Mar 7, 2023; 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.