| Doctor Name: | MS. MICHELE ANDREE ZIMMER-FORSTER |
| NPI Number: | 1902062078 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW, LICSW, CSW-G |
| License Number: | LC50078042 |
| Business Practice Address: | 20522 Falcons Landing Cir Potomac Falls, VA - 201657595 |
| Business Phone Number: | 7034045116 |
| Business Fax Number: | |
| Mailing Address: | 10104 Walker Lake Dr, GREAT FALLS |
| State: | VA |
| Postal Code: | 220663502 |
| Phone Number: | 7037570529 |
| Fax Number: | |
| NPI Enumeration Date: | 07/29/2008 |
| NPI Last Update Date: | 07/29/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LC50078042 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | DC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |