Provider Demographics
NPI:1598708349
Name:ZIMMERMAN, HELENE (LCSW)
Entity Type:Individual
Prefix:
First Name:HELENE
Middle Name:
Last Name:ZIMMERMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 FOREST ST APT 818
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06901-1869
Mailing Address - Country:US
Mailing Address - Phone:718-514-0264
Mailing Address - Fax:
Practice Address - Street 1:280 MADISON AVE RM 711
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-0825
Practice Address - Country:US
Practice Address - Phone:718-514-0264
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-13
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
FLPSW6151041C0700X
NYCSWR273781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU3888Medicare ID - Type UnspecifiedCLINICAL SOCIAL WORKER
NYN14681Medicare ID - Type UnspecifiedCLINICAL SOCIAL WORKER