Provider Demographics
NPI:1033744511
Name:ZIEMAK, ROBERT MICAL
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:MICAL
Last Name:ZIEMAK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:ROB
Other - Middle Name:MICAL
Other - Last Name:ZIEMAK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:31517 120TH CT SE
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98092-5102
Mailing Address - Country:US
Mailing Address - Phone:206-353-4995
Mailing Address - Fax:
Practice Address - Street 1:31517 120TH CT SE
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98092-5102
Practice Address - Country:US
Practice Address - Phone:206-353-4995
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-05
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator