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General NPI Number Information
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NPI Number | 1386005213
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Entity Type | Organization
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Legal Business Name | MARK ZIMMERMANN, LCSW, PLLC
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Dates
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Enumeration Date | 03/20/2016
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 4710 ELM ST APT W1304
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City | BETHESDA
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State | MD
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Zip | 20814-3828
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Country | US
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Telephone | 917-830-3463
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Fax | 347-715-7750
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Provider Business Mailing Address
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Address Line | 4710 ELM ST APT W1304
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City | BETHESDA
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State | MD
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Zip | 20814-3828
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Country | US
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Telephone | 917-839-3463
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARK MUELLER ZIMMERMANN
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Credential | LCSW
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Telephone | 917-830-3463
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 081845
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License Number State | NY
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