Healthcare Provider Details

I. General information

NPI: 1497018659
Provider Name (Legal Business Name): HEATHER ZIEMBA LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/21/2012
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 HUGHES WAY
LONG BEACH CA
90810-1864
US

IV. Provider business mailing address

1500 HUGHES WAY
LONG BEACH CA
90810-1864
US

V. Phone/Fax

Practice location:
  • Phone: 213-700-0185
  • Fax:
Mailing address:
  • Phone: 213-700-0185
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number73371
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: