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NEURODIVERSE THERAPY, LLC
NPI 1255020368
Social Worker in Fort Knox, KY

Active since May 04, 2023
209 WILLOW AVE, FORT KNOX, KY 40121(561) 414-6016 Get Directions Write a Review

NPPES record last updated: May 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Neurodiverse Therapy, Llc NPPES

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

NEURODIVERSE THERAPY, LLC (NPI 1255020368) is a healthcare organization registered as a social worker in Fort Knox, Kentucky and active in the NPI registry since May 2023. The organization lists Stacey Zimmerman, Lcsw/ Owner, as its authorized official.

NPPES Registry Identity

NPI1255020368
Entity TypeOrganization
Primary Taxonomy104100000X
Legal Business NameNEURODIVERSE THERAPY, LLC
Location Address209 WILLOW AVEFort Knox, KY 40121-4513
Mailing Address209 Willow AveFort Knox, KY 40121-4513
Phone(561) 414-6016
Organization SubpartNo
Authorized OfficialStacey ZimmermanLcsw/ Owner · (561) 414-6016
Enumeration DateMay 4, 2023
NPPES CertifiedMay 4, 2023
✔ NPI 1255020368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
209 WILLOW AVE, Fort Knox, KY 40121
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Neurodiverse Therapy, LLC's NPI number?

The NPI number for Neurodiverse Therapy, LLC is 1255020368. It was assigned to this organization in the NPPES registry on May 4, 2023.

Where is Neurodiverse Therapy, LLC located?

Neurodiverse Therapy, LLC is located at 209 Willow Ave, Fort Knox, KY 40121. The listed phone number is (561) 414-6016.

What is Neurodiverse Therapy, LLC's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Neurodiverse Therapy, LLC was last updated on May 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.