Provider Demographics
NPI:1932582806
Name:WEINZIMMER, KEVIN FRANCIS (LCSW)
Entity Type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:FRANCIS
Last Name:WEINZIMMER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3221 SPRING HILL AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36607-1800
Mailing Address - Country:US
Mailing Address - Phone:251-478-5906
Mailing Address - Fax:251-478-2237
Practice Address - Street 1:3221 SPRING HILL AVE
Practice Address - Street 2:SUITE C
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36607-1800
Practice Address - Country:US
Practice Address - Phone:251-478-5906
Practice Address - Fax:251-478-2237
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-09
Last Update Date:2015-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW127811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical