Provider Demographics
NPI:1821025057
Name:ZIMMERMANN, CHRISTA (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTA
Middle Name:
Last Name:ZIMMERMANN
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:MISS
Other - First Name:CHRISTA
Other - Middle Name:
Other - Last Name:SZONYI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW,LCSW
Mailing Address - Street 1:12 ECHO PL
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:ELMWOOD PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07407-2402
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:117 KINDERKAMACK RD
Practice Address - Street 2:SUITE 200
Practice Address - City:RIVER EDGE
Practice Address - State:NJ
Practice Address - Zip Code:07661-1941
Practice Address - Country:US
Practice Address - Phone:201-441-9335
Practice Address - Fax:201-441-9711
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2009-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC052454001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ086294AAFMedicare ID - Type Unspecified