Provider Demographics
NPI:1932774932
Name:ZIMMERMAN, KALEIGH (MSW)
Entity Type:Individual
Prefix:
First Name:KALEIGH
Middle Name:
Last Name:ZIMMERMAN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:KALEIGH
Other - Middle Name:
Other - Last Name:CLARKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8044 MARSEILLES DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32277-0909
Mailing Address - Country:US
Mailing Address - Phone:904-400-5361
Mailing Address - Fax:
Practice Address - Street 1:4161 CARMICHAEL AVE # 3300
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207-2353
Practice Address - Country:US
Practice Address - Phone:904-396-8750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-21
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical