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NPI Code Detail

MEDICARE: ALEXIS NICOLE ZIMMERMAN LISW

MEDICARE: ALEXIS NICOLE ZIMMERMAN LISW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerI.2608078OH
2104100000XSocial WorkerS.2308802OH
3101YS0200XSchool CounselorS.2308802OH

General Provider Information

NPI Number : 1518665546
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS NICOLE ZIMMERMAN LISW
Provider Business Mailing Address
First Line : 2000 NOBLE DR
Second Line :
City : WOOSTER
State : OH
Zip : 44691-5353
Country : US
Telephone Number : 330-264-3232
Fax Number :
Provider Business Practice Location Address
First Line : 2401 BELMONT AVE
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44505-2405
Country : US
Telephone Number : 330-743-1015
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2023
Last Update Date : 04/24/2026

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Directions to “ ALEXIS NICOLE ZIMMERMAN LISW” Practice Location

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