Individual provider Active NPI

Kimberly M Ziegelman, LICSW

  • Clinical Social Worker
  • Charlotte, VT
National Provider Identifier
1760447833
Registry record updated Jun 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0890000135 Issued in VT
Practice address
528 Stockbridge Rd
Charlotte, VT 05445-9354
Phone
(802) 999-1330
NPI assigned
Apr 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0890000135 VT Primary

Addresses

Primary practice location

528 Stockbridge Rd
Charlotte, VT 05445-9354

Mailing address

528 Stockbridge Rd
Charlotte, VT 05445-9354
Phone (802) 999-1330

Other identifiers 1

IdentifierTypeStateIssuer
1009873MedicaidVT

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New England Counseling and Trauma Associate Past Accepting new patients
Annie Lawson Licsw LLC Clinical PastSince Jan 12, 2023 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1760447833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 STOCKBRIDGE RD",
            "city": "CHARLOTTE",
            "state": "VT",
            "postal_code": "054459354",
            "telephone_number": "802-999-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 STOCKBRIDGE RD",
            "city": "CHARLOTTE",
            "state": "VT",
            "postal_code": "054459354",
            "telephone_number": "802-999-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIEGELMAN",
        "first_name": "KIMBERLY",
        "middle_name": "M",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "0890000135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009873",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.