Healthcare Provider Details

I. General information

NPI: 1356987838
Provider Name (Legal Business Name): ARIANNA MARIA ZIMMERMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2019
Last Update Date: 05/07/2024
Certification Date: 05/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 KERCHEVAL AVE STE 370
GROSSE POINTE FARMS MI
48236-3647
US

IV. Provider business mailing address

21 KERCHEVAL AVE STE 370
GROSSE POINTE FARMS MI
48236-3647
US

V. Phone/Fax

Practice location:
  • Phone: 313-474-1464
  • Fax:
Mailing address:
  • Phone: 313-474-1464
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: