| Mark Zimmermann, Lcsw, Pllc | |
|
4710 Elm St Apt W1304 Bethesda MD 20814-3828 | |
| (917) 830-3463 | |
| (347) 715-7750 |
| Full Name | Mark Zimmermann, Lcsw, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 4710 Elm St Apt W1304, Bethesda, Maryland |
| Authorized Official Name and Position | Mark Mueller Zimmermann (OWNER) |
| Authorized Official Contact | 9178303463 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Zimmermann, Lcsw, Pllc 4710 Elm St Apt W1304 Bethesda MD 20814-3828 Ph: (917) 839-3463 | Mark Zimmermann, Lcsw, Pllc 4710 Elm St Apt W1304 Bethesda MD 20814-3828 Ph: (917) 830-3463 |
| NPI Number | 1386005213 |
|---|---|
| Provider Enumeration Date | 03/20/2016 |
| Last Update Date | 11/15/2024 |
| Certification Date | 11/15/2024 |
| Medicare PECOS PAC ID | 4385939255 |
|---|---|
| Medicare Enrollment ID | O20241218001355 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386005213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 081845 (New York) | Primary |
| Provider Name | Mark M Zimmermann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275782179 PECOS PAC ID: 9638397300 Enrollment ID: I20241231000585 |
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