Individual provider Active NPI

Janet Elaine Zimmern, LICSW

  • Clinical Social Worker
  • Arlington, MA
National Provider Identifier
1760584304
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1023691 Issued in MA
Practice address
366 Massachusetts Ave
Suite 101
Arlington, MA 02474-6733
Phone
(781) 648-8989
NPI assigned
Sep 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1023691 MA Primary

Addresses

Primary practice location

366 Massachusetts Ave
Suite 101
Arlington, MA 02474-6733

Mailing address

78 Kirkland St
Cambridge, MA 02138-2033
Phone (617) 661-3157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041129000780 MA Practitioner - Clinical Social Worker 7113982430 Practice locations: Arlington, MA; Newton, MA; Cambridge, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

18 -20 Sumner St
Unit One
Newton, MA 02459-1641
Phone (857) 998-7868

78 Kirkland St
Cambridge, MA 02138-2033
Phone (617) 661-3157

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wilmington Family Counseling Service Inc PastSince Nov 1, 1996 Accepting new patients

Organizations & group practices 1

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": "1157241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760584304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 KIRKLAND ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021382033",
            "telephone_number": "617-661-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 MASSACHUSETTS AVE",
            "address_2": "SUITE 101",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024746733",
            "telephone_number": "781-648-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERN",
        "first_name": "JANET",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1023691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, MA

Sources for this page

Verify at the official NPI Registry.