Provider Demographics
NPI:1164027397
Name:ZOMER, DANICA (MSW, CSW)
Entity Type:Individual
Prefix:
First Name:DANICA
Middle Name:
Last Name:ZOMER
Suffix:
Gender:F
Credentials:MSW, CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27442 391ST AVE
Mailing Address - Street 2:
Mailing Address - City:CORSICA
Mailing Address - State:SD
Mailing Address - Zip Code:57328-5421
Mailing Address - Country:US
Mailing Address - Phone:605-680-9415
Mailing Address - Fax:
Practice Address - Street 1:110 W. STATE ST.
Practice Address - Street 2:
Practice Address - City:PLANKINTON
Practice Address - State:SD
Practice Address - Zip Code:57368
Practice Address - Country:US
Practice Address - Phone:605-942-7332
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-04
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD48341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical