Individual
MARY ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
400 E RED BRIDGE RD, SUITE 304, KANSAS CITY, MO 64131
(816) 942-1811
(816) 942-0419
Mailing address
400 E RED BRIDGE RD, SUITE 304, KANSAS CITY, MO 64131-4035
(816) 942-1811
(816) 942-0419
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
562
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10001565100
CHP
MO
01
—
135587
VALUE OPTIONS
MO
01
—
16068017
BCBSKC
MO
01
—
238878000
MAGELLAN
MO
01
—
4403292
AETNA
MO
01
—
46809
CIGNA
MO
01
—
6380108
UNITED HEALTCARE
MO
01
—
64159
DEFINITY
MO
Enumeration date
06/22/2006
Last updated
07/18/2018
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