STACEY ZIMMERMAN LCSW
NPI 1225595515
Social Worker - Clinical in Eglin Afb, FL

Q: What is Stacey Zimmerman's NPI number?

The NPI number for Stacey Zimmerman is 1225595515. It was assigned to this individual provider in the NPPES registry on February 22, 2019.

Q: What is Stacey Zimmerman's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Zimmerman was last updated on May 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 22, 2019PECOS Enrolled

340 BOATNER RD, EGLIN AFB, FL 32542(850) 883-8600 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 11, 2021, Feb 22, 2019 (2 updates tracked since 2019).

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About Stacey Zimmerman Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACEY ZIMMERMAN LCSW (NPI 1225595515) is an individual clinical provider in Eglin Afb, Florida, licensed in Kentucky (256077) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225595515

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameSTACEY ZIMMERMANCredential: LCSW

Location Address340 BOATNER RDEglin Afb, FL 32542-1391

Mailing Address340 Boatner RdEglin Afb, FL 32542-1391

Phone(850) 883-8600

Sole ProprietorNo

Enumeration DateFebruary 22, 2019

Last NPPES UpdateMay 21, 20242 updates tracked since enumeration

NPPES CertifiedMay 21, 2024

✔ NPI 1225595515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in KY · 256077

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.

Also ListedSocial WorkerTaxonomy 104100000X

340 BOATNER RD, Eglin Afb, FL 32542

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey Zimmerman Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Stacey Zimmerman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Communicare Inc

483 mi

Community/Behavioral Health

805 COMMERCE DRIVE
Leitchfield, KY 42754

Reassigned Medicare billing, Kentucky enrollment
47 clinicians in this Medicare group

NPI 1356488795 (270) 259-4652

Therapeutic Transformations LLC

512 mi

Community/Behavioral Health

175 E JOHN ROWAN BLVD
Bardstown, KY 40004

Reassigned Medicare billing, Kentucky enrollment
8 clinicians in this Medicare group

NPI 1639682909 (270) 234-6695

Neurodiverse Therapy, LLC

514 mi

Social Worker

209 WILLOW AVE
Fort Knox, KY 40121

Reassigned Medicare billing, Florida and Kentucky enrollments

NPI 1255020368 (561) 414-6016

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32542 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $56.00 – $171.84

Typical copayment $0.00 (range $14.00 – $42.96)

Most-billed visit code NA

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ELISABETH HOPE WYNIA HWANG MD

Emergency Medicine