Provider Demographics
NPI:1912414533
Name:ZIMECKI, ROSHANDA
Entity type:Individual
Prefix:
First Name:ROSHANDA
Middle Name:
Last Name:ZIMECKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26680 EMPIRE DR
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48374-1826
Mailing Address - Country:US
Mailing Address - Phone:609-212-8436
Mailing Address - Fax:
Practice Address - Street 1:26680 EMPIRE DR
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48374-1826
Practice Address - Country:US
Practice Address - Phone:609-212-8436
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-04
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011185381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical