MEDICARE: KIMBERLY ANN ZIMMER LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013426535
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY ANN ZIMMER LMSW

Provider Business Mailing Address
First Line	:	PO BOX 2061
Second Line	:
City	:	PETOSKEY
State	:	MI
Zip	:	49770-2061
Country	:	US
Telephone Number	:	231-620-1211
Fax Number	:

Provider Business Practice Location Address
First Line	:	1131 W CONWAY RD UNIT B
Second Line	:
City	:	HARBOR SPRINGS
State	:	MI
Zip	:	49740-9642
Country	:	US
Telephone Number	:	231-620-1211
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2017
Last Update Date	:	08/23/2023

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Directions to “ KIMBERLY ANN ZIMMER LMSW” Practice Location

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