MEDICARE: COLLECTIVE COUNSELING

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

General Provider Information

NPI Number	:	1952240384
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLLECTIVE COUNSELING

Provider Business Mailing Address
First Line	:	102 DAHLIA PL
Second Line	:
City	:	SUMMERVILLE
State	:	SC
Zip	:	29483-3917
Country	:	US
Telephone Number	:	732-859-2574
Fax Number	:

Provider Business Practice Location Address
First Line	:	102 DAHLIA PL
Second Line	:
City	:	SUMMERVILLE
State	:	SC
Zip	:	29483-3917
Country	:	US
Telephone Number	:	732-859-2574
Fax Number	:

Authorized Official
Title or Position	:	SOLE MEMBER
Name	:	CHRISTINE ZEIMETZ
Credential	:	LISW-CP
Telephone Number	:	732-859-2574

Provider Enumeration Date	:	03/28/2026
Last Update Date	:	03/28/2026

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