Healthcare Provider Details

I. General information

NPI: 1568010254
Provider Name (Legal Business Name): KIMBERLY DIONE ZIMMER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2019
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 WILLIAMSBURG PL STE G2
WARRENDALE PA
15086-7519
US

IV. Provider business mailing address

1 WILLIAMSBURG PL STE G2
WARRENDALE PA
15086-7519
US

V. Phone/Fax

Practice location:
  • Phone: 612-802-7625
  • Fax:
Mailing address:
  • Phone: 612-802-7625
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCW020656
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: