Mary Elizabeth Zimmerman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

BBHLCSWLIC36937 Issued in MT

Practice address

240 N Higgins Ave Ste 12
Missoula, MT 59802-4445

Phone

(406) 207-7467

NPI assigned

Jan 16, 2019

Sex

Female

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

Enrolled in MT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Illumination Counseling PLLC

  • Clinical Social Worker
  • Missoula, MT
  • NPI 1023749496
  NPD Authorized official

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1972077568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 SPEEDWAY AVE",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598025474",
            "telephone_number": "406-207-7467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 N HIGGINS AVE STE 12",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024445",
            "telephone_number": "406-207-7467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 S Reserve St Ste 5",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598012125",
            "country_code": "US",
            "telephone_number": "406-541-1669",
            "fax_number": "406-543-0356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2601 S 3rd St W",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598041143",
            "country_code": "US",
            "telephone_number": "406-207-7467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-16",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBHLCSWLIC36937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Zier
• Denise Zimmer
• Rebekah Zimmer, PHARMD
• Roy W Zimmer III, MD
• Alyssa S Zimmerman
• Tammy Marie Zink, MSW, LAC, SWLC
• Rachael Zins, PHARM D
• Ruby Sage Zitzer
• Gregory Allan Zlock, D.M.D.
• Alison Zmud

• Clinical Social Worker in Missoula, MT
• Providers in Missoula, MT by specialty
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.