Individual provider Active NPI

Jo Ann Zuckerbrod, MSW, LCSW

  • Clinical Social Worker
  • Stamford, CT
National Provider Identifier
1841413259
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
002659 Issued in CT
Practice address
237 Strawberry Hill Ave Apt 33
Stamford, CT 06902-2567
Phone
(203) 353-8405
Fax
(203) 327-7508
NPI assigned
Apr 11, 2007
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 002659 CT Primary

Addresses

Primary practice location

237 Strawberry Hill Ave Apt 33
Stamford, CT 06902-2567

Mailing address

237 Strawberry Hill Ave Apt 33
Stamford, CT 06902-2567
Phone (203) 353-8405

Other names 1

  • Ms. Jo Ann Zuckerbrod Other name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
002659CTMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841413259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 STRAWBERRY HILL AVE APT 33",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022567",
            "telephone_number": "203-353-8405",
            "fax_number": "203-327-7508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 STRAWBERRY HILL AVE APT 33",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022567",
            "telephone_number": "203-353-8405",
            "fax_number": "203-327-7508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUCKERBROD",
        "first_name": "JO ANN",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "002659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JO ANN",
            "last_name": "ZUCKERBROD",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.