Active NPI
Andrew Wayne Zimmerman, LCSW
- Clinical Social Worker
- Brooklyn, NY
National Provider Identifier
1790124063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 083681
- Practice address
- 33 Nassau Avenue
Second Floor
Brooklyn, NY 11222 - Phone
- (917) 243-9770
- NPI assigned
- Jun 20, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 086989-1 | NY | |
| Clinical Social Worker | 1041C0700X | 083681 | NY | Primary |
Addresses
Primary practice location
33 Nassau Avenue
Second Floor
Brooklyn, NY 11222
Mailing address
33 Nassau Avenue
Second Floor
Brooklyn, NY 11222
Phone (917) 243-9770
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 086989-1 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Charities Neigborhood Services | Clinical | Past | 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.
-
- Clinical Social Worker
- Glendale, NY
- NPI 1881910131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621036800000",
"number": "1790124063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 NASSAU AVENUE",
"address_2": "SECOND FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11222",
"telephone_number": "917-243-9770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 NASSAU AVENUE",
"address_2": "SECOND FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11222",
"telephone_number": "917-243-9770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMMERMAN",
"first_name": "ANDREW",
"middle_name": "WAYNE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-20",
"last_updated": "2021-05-15",
"certification_date": "2021-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "086989-1",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "083681",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.