Doctor Name: | MRS. CHRISTA ZIMMERMANN |
NPI Number: | 1821025057 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LCSW |
License Number: | 44SC05245400 |
Business Practice Address: | 117 Kinderkamack Rd Suite 200 River Edge, NJ - 076611941 |
Business Phone Number: | 2014419335 |
Business Fax Number: | 2014419711 |
Mailing Address: | 12 Echo Pl, 1st Floor ELMWOOD PARK |
State: | NJ |
Postal Code: | 074072402 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/26/2006 |
NPI Last Update Date: | 01/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SC05245400 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |