Doctor Name: | SADAYA ZIMMERLE |
NPI Number: | 1003025693 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.S.W., MSW |
License Number: | LCS 19879 |
Business Practice Address: | 2045 Fairmont Dr Eden Csc San Leandro, CA - 945781088 |
Business Phone Number: | 5106673913 |
Business Fax Number: | 5106677711 |
Mailing Address: | 2045 Fairmont Dr, Eden Csc SAN LEANDRO |
State: | CA |
Postal Code: | 945781088 |
Phone Number: | 5106673913 |
Fax Number: | 5106677711 |
NPI Enumeration Date: | 05/21/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCS 19879 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |