Provider Demographics
NPI:1912414533
Name:ZIMECKI, ROSHANDA
Entity Type:Individual
Prefix:
First Name:ROSHANDA
Middle Name:
Last Name:ZIMECKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 STURWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08648-1523
Mailing Address - Country:US
Mailing Address - Phone:609-212-8436
Mailing Address - Fax:
Practice Address - Street 1:901 STURWOOD WAY
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08648-1523
Practice Address - Country:US
Practice Address - Phone:609-212-8436
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-04
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical