Zachary Hamilton Avery, LCSW, BC-TMH, TIYT

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

22645 Issued in OK

Practice address

550 W B St FL 4
San Diego, CA 92101-3537

Phone

(417) 216-7501

NPI assigned

Nov 4, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other names 1

• Z. Hamilton Avery Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1932816360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 W B ST FL 4",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921013537",
            "telephone_number": "918-212-8373",
            "fax_number": "539-666-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W B ST FL 4",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921013537",
            "telephone_number": "417-216-7501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6216 S Lewis Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741361075",
            "country_code": "US",
            "telephone_number": "918-268-7327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23 E Ross Ave",
            "address_purpose": "LOCATION",
            "city": "Sapulpa",
            "state": "OK",
            "postal_code": "740666423",
            "country_code": "US",
            "telephone_number": "918-227-2016",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "751 W New Orleans St",
            "address_purpose": "LOCATION",
            "city": "Broken Arrow",
            "state": "OK",
            "postal_code": "740111812",
            "country_code": "US",
            "telephone_number": "918-258-4810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3712 E 11th St",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741123952",
            "country_code": "US",
            "telephone_number": "918-834-4194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "650 S Peoria Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741204429",
            "country_code": "US",
            "telephone_number": "918-587-9471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVERY",
        "first_name": "ZACHARY",
        "middle_name": "HAMILTON",
        "credential": "LCSW, BC-TMH, TIYT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-04",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "9081435",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "TPSW7232",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "2089",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "22645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "Z.",
            "last_name": "AVERY",
            "middle_name": "HAMILTON",
            "credential": "LCSW, BC-TMH, TIYT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Social Worker in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.