MEDICARE: MS. ALLISON ZIMPFER 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		MI
2	1041C0700X	Clinical Social Worker	34006809A	IN

General Provider Information

NPI Number	:	1679978654
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ALLISON ZIMPFER LMSW

Provider Business Mailing Address
First Line	:	PO BOX 6043
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49696-6043
Country	:	US
Telephone Number	:	317-441-6196
Fax Number	:

Provider Business Practice Location Address
First Line	:	933 ROSE
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49686-4968
Country	:	US
Telephone Number	:	231-933-3542
Fax Number	:

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

Provider Enumeration Date	:	11/03/2014
Last Update Date	:	03/30/2021

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