Provider Demographics
NPI:1134314214
Name:ZIMMERMAN, SARAH ELAINE (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:ELAINE
Last Name:ZIMMERMAN
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8470 ENTERPRISE CIR STE 300
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD RANCH
Mailing Address - State:FL
Mailing Address - Zip Code:34202-4105
Mailing Address - Country:US
Mailing Address - Phone:561-508-8809
Mailing Address - Fax:
Practice Address - Street 1:8470 ENTERPRISE CIR STE 300
Practice Address - Street 2:
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34202-4105
Practice Address - Country:US
Practice Address - Phone:561-508-8809
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-11
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1041C0700X
MD101351041C0700X
VA09040110661041C0700X
FLSW174591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical