Provider Demographics
NPI:1912216805
Name:ZIMMERMAN, CATHERINE J (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:J
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 1:409 E SUMACH ST # 8
Mailing Address - Street 2:
Mailing Address - City:WALLA WALLA
Mailing Address - State:WA
Mailing Address - Zip Code:99362-1202
Mailing Address - Country:US
Mailing Address - Phone:509-540-3191
Mailing Address - Fax:
Practice Address - Street 1:409 E SUMACH ST # 8
Practice Address - Street 2:
Practice Address - City:WALLA WALLA
Practice Address - State:WA
Practice Address - Zip Code:99362-1202
Practice Address - Country:US
Practice Address - Phone:509-540-3191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-27
Last Update Date:2016-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL41721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical