Provider Demographics
NPI:1629944756
Name:ELIZA ZIMMERER LCSW, PLLC
Entity type:Organization
Organization Name:ELIZA ZIMMERER LCSW, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER-MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIMMERER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, MPH, CASAC
Authorized Official - Phone:814-380-1158
Mailing Address - Street 1:50 FARRAGUT AVE
Mailing Address - Street 2:
Mailing Address - City:HASTINGS ON HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:10706-2305
Mailing Address - Country:US
Mailing Address - Phone:203-660-0576
Mailing Address - Fax:
Practice Address - Street 1:50 FARRAGUT AVE
Practice Address - Street 2:
Practice Address - City:HASTINGS ON HUDSON
Practice Address - State:NY
Practice Address - Zip Code:10706-2305
Practice Address - Country:US
Practice Address - Phone:203-660-0576
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-15
Last Update Date:2025-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty