Provider Demographics
NPI:1598417677
Name:RANDI Z. THERAPY, CONSULTING, LCSW, P.C.
Entity Type:Organization
Organization Name:RANDI Z. THERAPY, CONSULTING, LCSW, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:RANDI
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIMMERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-R, CEDS-S
Authorized Official - Phone:516-987-4959
Mailing Address - Street 1:10 GREYBARN LN APT 210
Mailing Address - Street 2:
Mailing Address - City:AMITYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11701-2262
Mailing Address - Country:US
Mailing Address - Phone:516-987-4959
Mailing Address - Fax:
Practice Address - Street 1:10 GREYBARN LN APT 210
Practice Address - Street 2:
Practice Address - City:AMITYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11701-2262
Practice Address - Country:US
Practice Address - Phone:516-987-4959
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-20
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty