Doctor Name: | MR. THOMAS MICHAEL ZIMMER |
NPI Number: | 1093951220 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | |
Business Practice Address: | 843 Milling Ave Luling, LA - 700704442 |
Business Phone Number: | 9857855852 |
Business Fax Number: | 9857855811 |
Mailing Address: | 843 Milling Ave, LULING |
State: | LA |
Postal Code: | 700704442 |
Phone Number: | 9857855852 |
Fax Number: | 9857855811 |
NPI Enumeration Date: | 12/17/2008 |
NPI Last Update Date: | 07/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |