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NPI Code Detail

MEDICARE: MS. LISA ZIMMERMAN LICSW

MEDICARE: MS. LISA ZIMMERMAN LICSW
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 WorkerLC50077749DC

General Provider Information

NPI Number : 1750590642
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LISA ZIMMERMAN LICSW
Provider Business Mailing Address
First Line : 3314 MOUNT PLEASANT ST NW
Second Line : #46
City : WASHINGTON
State : DC
Zip : 20010-1829
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2831 15TH ST NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20009-4607
Country : US
Telephone Number : 202-448-2835
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2007
Last Update Date : 07/08/2007

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Directions to “ MS. LISA ZIMMERMAN LICSW” Practice Location

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