Anita Joy Zakem, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.0003715 Issued in OH

Practice address

601 S Edwin C Moses Blvd
Dayton, OH 45417-3424

Phone

(937) 734-8333

Fax

(937) 383-2348

NPI assigned

Jul 16, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• C Jesse Carlock PH D & Associates

  • Clinical Psychologist
  • Dayton, OH
  • NPI 1801994199
  NPD (past)
• Craig D. Olson Psy.D. & Associates, LLC

  • Psychologist
  • Centerville, OH
  • NPI 1811261647
  NPD (past)
• Sharon D Brown, Psy.D., LLC

  • Clinical Psychologist
  • Dayton, OH
  • NPI 1316027873
  NPD (past)

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1740410414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "953 S SOUTH ST",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772921",
            "telephone_number": "937-383-4441",
            "fax_number": "937-383-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S EDWIN C MOSES BLVD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454173424",
            "telephone_number": "937-734-8333",
            "fax_number": "937-383-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAKEM",
        "first_name": "ANITA",
        "middle_name": "JOY",
        "name_prefix": "Ms.",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-16",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I 3715",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0003715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Britt Anthony Zackary Jr.
• Anastasia Ada Christina Zagordo, DDS
• Catherine Lorraine Zahora, M.ED, CCC-SLP
• Stacey Elizabeth Zaikoski, DDS
• Syeda Nida Zainab
• Brandon Sohail Zakeri, MD
• Nicole Louise Zale, RN
• Syed A Zaman, MD
• Raul Horacio Zambrano, MD
• Darlene Goncz Zangara, PH.D., LPC

• Clinical Social Worker in Dayton, OH
• Providers in Dayton, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; 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.