Individual provider Active NPI

Callia Emily Lapin Zimmerman, LICSW, LADC

  • Clinical Social Worker
  • South Burlington, VT
National Provider Identifier
1821331463
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089.0075456 Issued in VT
Practice address
56 W Twin Oaks Ter Ste 3
South Burlington, VT 05403-7138
Phone
(802) 393-8167
NPI assigned
Apr 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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 089.0075456 VT Primary

Addresses

Primary practice location

56 W Twin Oaks Ter Ste 3
South Burlington, VT 05403-7138

Mailing address

PO Box 8114
Essex, VT 05451-8114
Phone (802) 393-8167

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 1, 2024 through Oct 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
089.0075456VTMDClinical Social Worker

Interoperability endpoints

  • Direct secure messaging: callia.zimmerman@chslv.eclinicaldirectplus.com

NPI Registry JSON

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

{
    "created_epoch": "1364860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1821331463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8114",
            "city": "ESSEX",
            "state": "VT",
            "postal_code": "054518114",
            "telephone_number": "802-393-8167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 W TWIN OAKS TER STE 3",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037138",
            "telephone_number": "802-393-8167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "CALLIA",
        "middle_name": "EMILY LAPIN",
        "credential": "LICSW, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-02",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0075456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Burlington, VT

Sources for this page

Verify at the official NPI Registry.