Healthcare Provider Details

I. General information

NPI: 1154517167
Provider Name (Legal Business Name): BEATE MARIA ZIPPERLE LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2007
Last Update Date: 01/08/2024
Certification Date: 01/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 ALLEGHENY AVE
BALTIMORE MD
21204-4217
US

IV. Provider business mailing address

620 W 36TH ST
BALTIMORE MD
21211-2514
US

V. Phone/Fax

Practice location:
  • Phone: 410-493-5918
  • Fax: 410-233-8496
Mailing address:
  • Phone: 410-493-5918
  • Fax: 410-235-0476

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number13316
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: