ELIZABETH BOEHM ZIMMERMAN (NPI# 1588157374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588157374 |
| Entity Type | Individual |
| Full Name | ELIZABETH BOEHM ZIMMERMAN |
| Practice Address |
1613 23rd Ave Gulfport MS 39501-2960 |
| Practice Telephone | 2282844651 |
| Practice Fax Number | 2282844636 |
| Mailing Telephone | 2282844636 |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2020-02-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C8460 | MS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205271707 | Elizabeth Rose Zimmerman | Occupational Therapist | 993 Brodhead Rd Ste 10, Moon Township, PA 15108-2306 | 2013-05-10 |
| 1477654275 | Elizabeth Anna Zimmerman | Occupational Therapist | 3657 Blueberry Hill Dr, Shingle Springs, CA 95682-8885 | 2006-09-26 |
| 1760859185 | Elizabeth Zimmerman | Marriage & Family Therapist | 223 Katonah Avenue, Katonah, NY 10536-2146 | 2015-09-02 |
| 1740665132 | Elizabeth Marie Zimmerman | Psychologist | 610 High St, Oregon City, OR 97045-2241 | 2015-07-27 |
| 1982949236 | Elizabeth Ann Zimmerman | Marriage & Family Therapist | 1925 Daly St Fl 2, Los Angeles, CA 90031-3309 | 2012-11-27 |
| 1215199096 | Elizabeth Ann Zimmerman | Family Medicine | 515 Rivercrossing Dr Ste 180, Fort Mill, SC 29715-7900 | 2008-07-02 |
| 1285801555 | Elizabeth Maria Zimmerman | Speech-Language Pathologist | 4600 E Shea Blvd, Suite 101, Phoenix, AZ 85028-6024 | 2008-05-14 |
| Street Address |
1613 23RD AVE |
| City | GULFPORT |
| State | MS |
| Zip Code | 39501-2960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033602834 | Jena Leanna Pierce | Nurse Practitioner | 1613 23rd Ave, Gulfport, MS 39501 | 2018-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301632 | Daniel Edward Bloom | Physician Assistant | Naval Branch Health Clinic Gulfport, 5502 Marvin Shields Blvd, Gulfport, MS 39501 | 2019-11-25 |
| 1730721374 | Affinity Healthcare LLC | Non-emergency Medical Transport (VAN) | 1822 15th St, Suite 8, Gulfport, MS 39501 | 2019-10-15 |
| 1093361156 | Gulf Coast Companion Care, LLC | Home Health | 1314 Pass Road, Ste B, Gulfport, MS 39501 | 2019-08-14 |
| 1609420991 | Greg Meekin Ent | Otolaryngology | 1201 31st Avenue, Gulfport, MS 39501 | 2019-07-25 |
| 1225681216 | Murphy Chiropractic Gulfport, LLC | Clinic/Center | 2700 25th Ave., Gulfport, MS 39501 | 2019-07-19 |
| 1477022838 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 1110 Broad Street, Suite 300, Gulfport, MS 39501 | 2018-11-15 |
| 1477003028 | Mindful Matters | Nurse Practitioner | 1613 23rd Avenue, Gulfport, MS 39501 | 2016-10-06 |
| 1902294093 | Tangular Barnes | Nurse Practitioner | Gulf Coast Mental Health Center, 1600 Broad Ave, Gulfport, MS 39501 | 2014-12-25 |
| 1487065355 | Huong Nguyen | Pharmacist | 2433 25th Avenue, Gulfport, MS 39501 | 2014-05-14 |
| 1770907412 | Matthew Coleman | Military Health Care Provider | Nbhc Naval Construction Battalion Center Gulfport, 5501 Marvin Shields Blvd, Gulfport, MS 39501 | 2014-02-18 |
| Find all providers in zip 39501 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871120832 | Deena Asfour-mack | Social Worker | 12450 Three Rivers Rd Apt 57, Gulfport, MS 39503-2974 | 2020-03-26 |
| 1871076935 | Janice Luiszer Lemieux | Social Worker | 5005 24th Ave S, Gulfport, FL 33707-5111 | 2018-09-13 |
| 1003324419 | Tbd Acquisition II, LLC | Social Worker | 11150 Highway 49 Ste B, Gulfport, MS 39503-4110 | 2018-01-19 |
| 1194239392 | Jennifer Lynn Williams | Social Worker | 5301 Snead St, Gulfport, MS 39501-9018 | 2017-11-27 |
| 1437677721 | Mary Stephens Ruffin | Social Worker | 11262 Creek Dr, Gulfport, MS 39503 | 2017-09-07 |
| 1821528183 | Isaure Caviness | Social Worker | 1323 Poplar Ave, Gulfport, MS 39507-2044 | 2017-06-19 |
| 1487907168 | Elizabeth Willis Waterman | Social Worker | 12236 Ashley Dr, Suite B, Gulfport, MS 39503-2759 | 2012-10-18 |
| 1538491634 | Heather Wittmann Black | Social Worker | 2214 25th Ave Unit 2, Gulfport, MS 39501-4520 | 2010-02-01 |
| 1659503712 | Lynn T. Murphy | Social Worker | 13613 Hidden Oaks Dr, Gulfport, MS 39503-7049 | 2009-08-21 |
| 1477710077 | Lindsay Anne Elkins | Social Worker | 2027 19th St, Gulfport, MS 39501-2916 | 2008-05-21 |
| Find all providers in GULFPORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.