MEDICARE: MRS. LISA DAWN ZIMMERMAN MSW, LCSW

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	104100000X	Social Worker	LCS21428	CA
2	1041C0700X	Clinical Social Worker	CSW004028	GA

General Provider Information

NPI Number	:	1265536411
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LISA DAWN ZIMMERMAN MSW, LCSW

Provider Business Mailing Address
First Line	:	2630 STONEHILL DR
Second Line	:
City	:	CUMMING
State	:	GA
Zip	:	30041-9306
Country	:	US
Telephone Number	:	678-630-9036
Fax Number	:	678-807-8573

Provider Business Practice Location Address
First Line	:	6645 PEACHTREE DUNWOODY RD NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30328-1606
Country	:	US
Telephone Number	:	404-550-3077
Fax Number	:	770-455-7118

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

Provider Enumeration Date	:	09/11/2006
Last Update Date	:	11/14/2010

Similar Medicare Providers

1285267443 — YUSHEA MARIE MILLER
Practice Location Address:

6645 PEACHTREE DUNWOODY RD
ATLANTA, GA
30328-1606

Practice Phone: 770-490-9271
Practice Fax: 770-455-7111

1710186697 — BETHANY CHRISTIAN SERVICES OF GEORGIA
Practice Location Address:

6645 PEACHTREE DUNWOODY RD NE
ATLANTA, GA
30328-1606

Practice Phone: 770-455-7111
Practice Fax: 770-274-3000

1851520803 — BETHANY CHRISTIAN SERVICES
Practice Location Address:

6645 PEACHTREE DUNWOODY RD NE
ATLANTA, GA
30328-1606

Practice Phone: 770-455-7111
Practice Fax: 770-455-7118

1487950804 — MEREDITH MORGAN CONNOR LCSW
Practice Location Address:

6645 PEACHTREE DUNWOODY RD NE
ATLANTA, GA
30328-1606

Practice Phone: 770-455-7111
Practice Fax: 770-455-7118

1619345048 — KAREN SCHMIDT
Practice Location Address:

6645 PEACHTREE DUNWOODY RD
ATLANTA, GA
30328-1606

Practice Phone: 770-455-7111
Practice Fax: 770-274-3460

1720455157 — KATY DAVIS
Practice Location Address:

6645 PEACHTREE DUNWOODY RD
ATLANTA, GA
30328-1606

Practice Phone: 770-455-7111
Practice Fax: 770-274-3460

Directions to “ MRS. LISA DAWN ZIMMERMAN MSW, LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.