MS. CAROL ZIMBELMAN M.S.W.
NPI 1720143407
Social Worker - Clinical in San Jose, CA
NPI Status: Active since December 23, 2006
Contact Information
1040 LINCOLN AVE
SAN JOSE, CA
ZIP 95125
Phone: (408) 293-4489
Fax: (408) 293-6188
- Individual
- Female
- Social Worker
- Clinical
- PECOS Enrolled
- Opted-Out Medicare
About CAROL ZIMBELMAN
This page provides the complete NPI Profile along with additional information for Carol Zimbelman, a provider established in San Jose, California with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1720143407 assigned on December 2006. The practitioner's primary taxonomy code is 1041C0700X with license number LCS10018 (CA). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1720143407
- Provider Name
- MS. CAROL ZIMBELMAN M.S.W.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1040 LINCOLN AVE SAN JOSE, CA 95125
- Location Phone
- (408) 293-4489
- Location Fax
- (408) 293-6188
- Mailing Address
- 1040 LINCOLN AVE SAN JOSE, CA 95125
- Mailing Phone
- (408) 293-4489
- Mailing Fax
- (408) 293-6188
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 12-23-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A clinical social worker like Carol Zimbelman is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Carol Zimbelman opted out of Medicare effective on 07-01-2016 until 07-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- LCS10018
- License State
- CA
- Taxonomy Description
- 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.
Medicare Participation & PECOS Enrollment Status
Carol Zimbelman is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 07-01-2016
Opt-Out End Date: 07-01-2026
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 95125 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is NA
- Average New Patient Price $0
- Minimum New Patient Price $70.37
- Maximum New Patient Price $206.04
- Average New Patient Copayment $0
- Minimum New Patient Copayment $17.59
- Maximum New Patient Copayment $51.51
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $86.56
- Minimum Established Patient Price $23.96
- Maximum Established Patient Price $169.6
- Average Established Patient Copayment $21.64
- Minimum Established Patient Copayment $5.99
- Maximum Established Patient Copayment $42.4
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for MS. CAROL ZIMBELMAN M.S.W.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 2 | 0 | 1 | 4 | 3 | 4 | 0 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 4 | 0 | 2 | 4 | 6 | 4 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 4 + 0 + 2 + 4 + 6 + 4 + 0 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1720143407 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 11 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1083774343 | DR. JAN E KEARNY PH.D. Individual | Psychologist (Clinical) | 1040 LINCOLN AVE SAN JOSE, CA 95125 (408) 293-4489 |
| 1669535480 | AMY LIESELOTTE KAELEHIWA WILLIAMS M.F.T. Individual | Marriage & Family Therapist | 1040 LINCOLN AVE SAN JOSE, CA 95125 (408) 293-4489 |
| 1972668614 | MR. EDWARD LOUIS SUBEGA LMFT Individual | Marriage & Family Therapist | 1040 LINCOLN AVE SAN JOSE, CA 95125 (408) 293-4489 |
| 1154486892 | MS. CYNTHIA DALE NORTON LMFT Individual | Marriage & Family Therapist | 1040 LINCOLN AVE SAN JOSE, CA 95125 (408) 293-4489 |
| 1386792562 | LORI SANDERS-CURRY MFC Individual | Marriage & Family Therapist | 1040 LINCOLN AVE SAN JOSE, CA 95125 (408) 293-4489 |
| 1215081161 | MARY JO TRUSSO MFT Individual | Marriage & Family Therapist | 1040 LINCOLN AVE SAN JOSE, CA 95125 (408) 293-4489 |
| 1093011165 | CELIA WEBER FOERSTER LMFT Individual | Marriage & Family Therapist | 1040 LINCOLN AVE SAN JOSE, CA 95125 (408) 293-4489 |
| 1124361761 | BANITA DE ORNELAS LMFT Individual | Marriage & Family Therapist | 1040 LINCOLN AVE SAN JOSE, CA 95125 (408) 293-4489 |
| 1013087816 | ALLIANCE COMMUNITY COUNSELING CENTER Organization | Counselor | 1040 LINCOLN AVE SAN JOSE, CA 95125 (408) 293-4489 |
| 1003993205 | CHERISE A STEWART MA Individual | Marriage & Family Therapist | 1040 LINCOLN AVE SAN JOSE, CA 95125 (408) 293-4493 |
| 1558445759 | DR. ELENA HERRERA PSY.D. Individual | Psychologist | 1040 LINCOLN AVE SAN JOSE, CA 95125 (408) 290-1555 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720143407, enumerated in the NPI registry as an "individual" on December 23, 2006
The provider is located at 1040 Lincoln Ave San Jose, Ca 95125 and the phone number is (408) 293-4489
The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
Medicare beneficiaries should expect a typical cost of $0 with an average copayment of $0 for new patient appointments. Established patients should expect a typical charge of $86.56 and an average copayment of 21.64. Please review your insurance plan or contact the provider directly to determine your specific costs.
No, the provider signed an affidavit on July 01, 2016 to opt-out of the Medicare program. The provider is excluded from the Medicare program until July 01, 2026.
This NPI record was last updated on December 23, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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