Kimberly Mackanic, LCSW, LCADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05601700 Issued in NJ

Practice address

3036 Route 35 # 321
Hazlet, NJ 07730-1505

Phone

(732) 630-5968

NPI assigned

Jun 28, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healing Reimagined LLC

  • Clinical Social Worker
  • Hazlet, NJ
  • NPI 1083531099
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1003267337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3036 ROUTE 35 STE 321",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301505",
            "telephone_number": "732-630-5968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3036 ROUTE 35 # 321",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301505",
            "telephone_number": "732-630-5968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKANIC",
        "first_name": "KIMBERLY",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-28",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00293000",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05601700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Lonnay, LPC, LCADC
• Jacqueline Lopes Santos, LAC
• Catherine Lordi Cash, COTA
• Lauren Lormel, LCSW
• Althea Macdonald, LPC
• Ankit Malik, D.O. M.B.A.
• Mana Medical LLC
• Christina Manago, LICENSED SOCIAL WORK
• Manchester Pharmacy Inc
• Christine Manley, DPT

• Clinical Social Worker in Hazlet, NJ
• Providers in Hazlet, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.