Provider Demographics
NPI:1770846206
Name:ZIMBERG, COLLEEN PATRICIA (MSW,LCSW)
Entity Type:Individual
Prefix:MRS
First Name:COLLEEN
Middle Name:PATRICIA
Last Name:ZIMBERG
Suffix:
Gender:F
Credentials:MSW,LCSW
Other - Prefix:
Other - First Name:COLLEEN
Other - Middle Name:PATRICIA
Other - Last Name:MILNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8 TOWER LN
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-2522
Mailing Address - Country:US
Mailing Address - Phone:862-217-0441
Mailing Address - Fax:
Practice Address - Street 1:520 SPEEDWELL AVE STE 112
Practice Address - Street 2:
Practice Address - City:MORRIS PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07950-2132
Practice Address - Country:US
Practice Address - Phone:973-960-8844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY062181-1104100000X
NJ44SC055043001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker