Provider Demographics
NPI:1750919486
Name:ZAUMEYER, MICHELLE ANNE (LCSW)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:ANNE
Last Name:ZAUMEYER
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 1:161 WALLOPS
Mailing Address - Street 2:
Mailing Address - City:KYLE
Mailing Address - State:TX
Mailing Address - Zip Code:78640-4173
Mailing Address - Country:US
Mailing Address - Phone:512-703-7991
Mailing Address - Fax:
Practice Address - Street 1:2515 S CONGRESS AVE
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-5513
Practice Address - Country:US
Practice Address - Phone:512-703-7991
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-30
Last Update Date:2020-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX622231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical