Ira Zimbler, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

105874 Issued in MA

Practice address

780 Main Street
Suite 6
Great Barrington, MA 01230-2149

Phone

(518) 755-9388

NPI assigned

Nov 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ajs Mental Health Counseling, PLLC

  • Mental Health Counselor
  • Hudson, NY
  • NPI 1508414905
  NPD (past)
• Clearwater Counseling Inc.

  • Community/Behavioral Health Agency
  • Hudson, NY
  • NPI 1477914364
  NPD (past)
• Columbia Memorial Hospital

  • Multi-Specialty Clinic/Center
  • Hudson, NY
  • NPI 1417371519
  NPD (past)
• Dennis Marcus MD PC

  • Psychiatric/Mental Health Nurse Practitioner
  • Valatie, NY
  • NPI 1003876020
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340668800000",
    "number": "1831268747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 MAIN STREET",
            "address_2": "SUITE 6",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012302149",
            "telephone_number": "518-755-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 MAIN STREET",
            "address_2": "SUITE 6",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012302149",
            "telephone_number": "518-755-9388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMBLER",
        "first_name": "IRA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2012-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R035681-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "105874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tricia Wyatt
• Lyn Yonack, LICSW
• Lauren C Young, FNP
• Yi-Lo Yu, M.D.
• Cherilyn Zaretsky, LMHC

• Clinical Social Worker in Great Barrington, MA
• Providers in Great Barrington, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.