Individual provider Active NPI

Donna Jean Zinn, LCSW

  • Clinical Social Worker
  • Evansville, IN
National Provider Identifier
1780008896
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
600 N Weinbach Ave Ste 730
Evansville, IN 47711-5977
Phone
(812) 431-3295
Fax
(812) 402-0388
NPI assigned
Feb 10, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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 Primary

Addresses

Primary practice location

600 N Weinbach Ave Ste 730
Evansville, IN 47711-5977

Mailing address

600 N Weinbach Ave Ste 730
Evansville, IN 47711-5977
Phone (812) 431-3295

Other practice location 1

415 Mulberry St
Evansville, IN 47713-1230
Phone (812) 423-7791

Other identifiers 4

IdentifierTypeStateIssuer
100240880MedicaidIN
839090018OtherINMEDICARE
000000968323OtherINANTHEM
12656659OtherCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20151028001218 IN Practitioner - Clinical Social Worker 6608185905 Practice locations: Evansville, IN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

600 N Weinbach Ave
Suite 730
Evansville, IN 47711-5977
Phone (812) 431-3295

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1780008896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N WEINBACH AVE STE 730",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477115977",
            "telephone_number": "812-431-3295",
            "fax_number": "812-402-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N WEINBACH AVE STE 730",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477115977",
            "telephone_number": "812-431-3295",
            "fax_number": "812-402-0388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 Mulberry St",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477131230",
            "country_code": "US",
            "telephone_number": "812-423-7791",
            "fax_number": "812-422-7558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZINN",
        "first_name": "DONNA",
        "middle_name": "JEAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-10",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100240880",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "839090018",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000968323",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12656659",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.