Active NPI
Karen Wimberly, L.C.S.W.
- Clinical Social Worker
- Hackettstown, NJ
National Provider Identifier
1093902579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC00583800
- Practice address
- 651 Willow Grove St
Hackettstown, NJ 07840-1799 - Phone
- (908) 850-6812
- Fax
- (908) 850-6846
- NPI assigned
- Sep 28, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC00583800 | NJ | Primary |
Addresses
Primary practice location
651 Willow Grove St
Hackettstown, NJ 07840-1799
Mailing address
3 Spring MDW
Oxford, NJ 07863-3246
Phone (908) 453-3334
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0380661 | Medicaid | NJ |
Other names 1
- Ms. Karen Bakerjian
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC00583800 | NJ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388361600000",
"number": "1093902579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 SPRING MDW",
"city": "OXFORD",
"state": "NJ",
"postal_code": "078633246",
"telephone_number": "908-453-3334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "651 WILLOW GROVE ST",
"city": "HACKETTSTOWN",
"state": "NJ",
"postal_code": "078401799",
"telephone_number": "908-850-6812",
"fax_number": "908-850-6846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIMBERLY",
"first_name": "KAREN",
"name_prefix": "Mrs.",
"credential": "L.C.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-28",
"last_updated": "2013-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC00583800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0380661",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KAREN",
"last_name": "BAKERJIAN",
"prefix": "MS.",
"credential": "L.C.S.W.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hackettstown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.