Healthcare Provider Details

I. General information

NPI: 1821025057
Provider Name (Legal Business Name): CHRISTA ZIMMERMANN MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTA SZONYI MSW,LCSW

II. Dates (important events)

Enumeration Date: 06/26/2006
Last Update Date: 01/27/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 KINDERKAMACK RD SUITE 200
RIVER EDGE NJ
07661-1941
US

IV. Provider business mailing address

12 ECHO PL 1ST FLOOR
ELMWOOD PARK NJ
07407-2402
US

V. Phone/Fax

Practice location:
  • Phone: 201-441-9335
  • Fax: 201-441-9711
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC05245400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: