Provider Demographics
NPI:1154517167
Name:ZIPPERLE, BEATE MARIA (LCSW-C)
Entity type:Individual
Prefix:MS
First Name:BEATE
Middle Name:MARIA
Last Name:ZIPPERLE
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 W 36TH ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21211-2514
Mailing Address - Country:US
Mailing Address - Phone:410-493-5918
Mailing Address - Fax:410-235-0476
Practice Address - Street 1:300 ALLEGHENY AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21204-4217
Practice Address - Country:US
Practice Address - Phone:410-493-5918
Practice Address - Fax:410-233-8496
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-24
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD133161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical