Provider Demographics
NPI:1275827057
Name:ZANTINGH, KIMBERLY J (MSW, LMSW, LISW)
Entity Type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:J
Last Name:ZANTINGH
Suffix:
Gender:F
Credentials:MSW, LMSW, LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 W 16TH ST N
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:IA
Mailing Address - Zip Code:50208-2953
Mailing Address - Country:US
Mailing Address - Phone:641-275-7533
Mailing Address - Fax:641-787-0063
Practice Address - Street 1:303 S 2ND AVE W
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:IA
Practice Address - Zip Code:50208-3712
Practice Address - Country:US
Practice Address - Phone:641-780-8435
Practice Address - Fax:641-787-0063
Is Sole Proprietor?:No
Enumeration Date:2011-06-08
Last Update Date:2013-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA7297104100000X
IA0072971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker