Kimberly C Warne, MED, LCADC, CAADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

37LC00312000 Issued in NJ

Practice address

3535 Quakerbridge Rd Ste 300
Trenton, NJ 08619-1200

Phone

(609) 249-4648

NPI assigned

Nov 23, 2016

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1479859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1063955029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 QUAKERBRIDGE RD STE 300",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086191200",
            "telephone_number": "609-249-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 QUAKERBRIDGE RD STE 300",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086191200",
            "telephone_number": "609-249-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNE",
        "first_name": "KIMBERLY",
        "middle_name": "C",
        "credential": "MED, LCADC, CAADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-23",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PCB CERT #9421",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00312000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elliot Walters, MD
• Edward William Walton, APRN
• Yadan Wang
• Yan Wang, DO
• Zhuoyang Wang, MD
• Ronald Lee Warren, M.D.
• Natale Wasef
• Caroline Washington, MSW, LCSW
• Nylah F Wasti, MD
• Waters Edge Care and Rehab Center LLC

• Addiction (Substance Use Disorder) Counselor in Trenton, NJ
• Providers in Trenton, NJ by specialty
• Addiction (Substance Use Disorder) Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.