ZACHARIAS KNICKERBOCKER


Address: 4901 E 5th St, Tucson, AZ 85711-2203
Phone: 5203274505

ZACHARIAS KNICKERBOCKER (NPI# 1417992181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417992181
Entity Type Individual
Full Name ZACHARIAS KNICKERBOCKER
Practice Address 4901 E 5th St
Tucson
AZ 85711-2203
Mailing Address 127 S 5th Ave
Tucson
AZ 85701-2005
Practice Telephone 5203274505
Practice Fax Number 5202021889
Mailing Telephone 5203274505
Mailing Fax Number 5202021889
Enumeration Date 2006-06-18
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
LCSW - 11466 AZ Behavioral Health & Social Service Providers

Office Location

Street Address 4901 E 5TH ST
City TUCSON
State AZ
Zip Code 85711-2203

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851685952 Bill E Owenby Counselor 4901 E 5th St, Tucson, AZ 85711-2203 2011-06-06
1477863744 Yanina V, Shames Nurse Practitioner 4901 E 5th St, Codac, Tucson, AZ 85711-2203 2010-10-20
1124357108 Deborah Lynn Christensen Registered Nurse 4901 E 5th St, Tucson, AZ 85711-2203 2009-12-21
1124206610 Alanna B Boyd Counselor 4901 E 5th St, Tucson, AZ 85711-2203 2008-02-06
1013115609 Carol Lynn Araiza Registered Nurse 4901 E 5th St, Tucson, AZ 85711-2203 2007-07-05
1376631259 Jack E. Hollis Counselor 4901 E 5th St, Tucson, AZ 85711-2203 2006-10-10
1629093141 Bonnie Hoff Nurse Practitioner 4901 E 5th St, Tucson, AZ 85711-2203 2006-07-13
1447283148 Codac Behavioral Health Services of Pima County, Inc. Clinic/Center 4901 E 5th St, Tucson, AZ 85711-2203 2006-07-08
1972533560 Melissa Lynn Johnson Counselor 4901 E 5th St, Tucson, AZ 85711-2203 2006-07-03
1376572453 Cheryl Murdock Registered Nurse 4901 E 5th St, Tucson, AZ 85711-2203 2006-07-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356959951 Ridgeline Practice Counselor 4625 N Broadway, Suite 105, Tucson, AZ 85711 2020-07-20
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1992343362 Laurie Anne Mcmahon Family Medicine 899 N. Wilmot, Building B, Tucson, AZ 85711 2019-12-17
1063060093 Sharese Ann Bailey Counselor 300 S Craycroft Rd, Tucson, AZ 85711 2019-09-03
1467940015 Jin Zhang Ophthalmology 655 N Alvernon Way Ste 204, Tucson, AZ 85711 2018-04-30
1447779525 Catherine Butler Hobart Pharmacist 535 North Wilmont Road, Suite 101, Tucson, AZ 85711 2017-09-11
1689196420 Cope Community Services, Inc. Case Management 924 N Alvernon Way, Tucson, AZ 85711 2017-07-13
1124561477 Regina Maendler Behavioral Analyst 630 N. Craycroft Rd, Tucson, AZ 85711 2016-11-18
1881140184 Elleda Linsmeyer Speech-Language Pathologist St. Joesph's Hosptial, 350 N. Wilmont Rd., Tucson, AZ 85711 2016-08-28
1962856260 Csl-tucson, LLC Assisted Living Facility 1020 N. Woodland Avenue, Tucson, AZ 85711 2016-04-22
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669070710 Erica Rhea Wagner Social Worker 4873 E Cooper St, Tucson, AZ 85711-3617 2020-10-12
1053928648 Elizabeth Sarah Kieding Social Worker 4732 E Calle Elegante, Tucson, AZ 85718-3733 2020-09-28
1386259778 Yolanda Jeli Social Worker 1701 W Saint Marys Rd Ste 117, Tucson, AZ 85745-2621 2020-09-11
1689282097 Marcus Aurelius De Volder Social Worker 8110 E Speedway Blvd Apt 8391, Tucson, AZ 85710-1782 2020-07-21
1336766641 Jamie Lakin Social Worker 470 W Roger Rd Ste 110, Tucson, AZ 85705-2679 2020-07-02
1356961973 Jillian A Stein-seroussi Social Worker 5400 E Williams Blvd Apt 12207, Tucson, AZ 85711-7486 2020-04-23
1124648175 Deborah Lorraine Mack Social Worker 9950 N Camino De Oeste, Tucson, AZ 85742-9119 2020-04-20
1376163543 Strategic Healing LLC Social Worker 245 S Bryant Ave, Tucson, AZ 85711-4122 2020-04-17
1811526841 Jessica Belter Social Worker 3009 E Elm St # 1, Tucson, AZ 85716-3124 2020-04-02
1700425436 Shannon N Barefield Social Worker 48 N Tucson Blvd Ste 100, Tucson, AZ 85716-4756 2019-12-28
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Competitor

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City TUCSON
Zip Code 85711

Improve Information

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Dataset Information

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.

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