| Doctor Name: | EILEEN ZIMMERMAN |
| NPI Number: | 1215357090 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 008616 |
| Business Practice Address: | 14 Rye Ridge Plz Suite 228 Rye Brook, NY - 105732826 |
| Business Phone Number: | 2033312709 |
| Business Fax Number: | |
| Mailing Address: | 312 Pemburn Dr, FAIRFIELD |
| State: | CT |
| Postal Code: | 068243960 |
| Phone Number: | 2033312709 |
| Fax Number: | |
| NPI Enumeration Date: | 04/21/2014 |
| NPI Last Update Date: | 05/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 008616 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |