Active NPI
Healing Reimagined LLC
- Clinical Social Worker
- Hazlet, NJ
National Provider Identifier
1083531099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- HEALING REIMAGINED LLC
- Practice address
- 3036 Route 35 # 321 (Telehealth Only)
Hazlet, NJ 07730-1505 - Phone
- (732) 630-5968
- NPI assigned
- Jul 1, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly Mackanic, LCSW, LCADC
- Title
- Owner
- Phone
- (732) 630-5968
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
3036 Route 35 # 321 (Telehealth Only)
Hazlet, NJ 07730-1505
Mailing address
3036 Route 35 # 321
Hazlet, NJ 07730-1505
Phone (732) 630-5968
National Provider Directory
National Provider DirectoryLocations
3036 State Route 35
#321
Hazlet, NJ 07730
Phone (732) 630-5968
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Hazlet, NJ
- NPI 1003267337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782864000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782864000000",
"number": "1083531099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3036 ROUTE 35 # 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 (TELEHEALTH ONLY)",
"city": "HAZLET",
"state": "NJ",
"postal_code": "077301505",
"telephone_number": "732-630-5968"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALING REIMAGINED LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-01",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A",
"authorized_official_last_name": "MACKANIC",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "732-630-5968",
"authorized_official_credential": "LCSW, LCADC"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hazlet, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.