Individual provider Active NPI

Kristen Alice Wimmer, LSW

  • Social Worker
  • New Brunswick, NJ
National Provider Identifier
1104715754
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL07143900 Issued in NJ
Practice address
3 Bartlett St
New Brunswick, NJ 08901-8552
Phone
(848) 932-1181
NPI assigned
Jun 30, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL07143900 NJ Primary

Addresses

Primary practice location

3 Bartlett St
New Brunswick, NJ 08901-8552

Mailing address

529 Remsen Ave Unit 529
North Brunswick, NJ 08902-2423
Phone (732) 491-5661

Other practice location 1

646 State Route 18
Plaza Hill, Building B Suite 214
East Brunswick, NJ 08816
Phone (848) 266-5983

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

LicenseStateTypeSpecialty
44SL07143900NJMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1104715754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 REMSEN AVE UNIT 529",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089022423",
            "telephone_number": "732-491-5661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BARTLETT ST",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089018552",
            "telephone_number": "848-932-1181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "646 State Route 18",
            "address_2": "Plaza Hill, Building B Suite 214",
            "address_purpose": "LOCATION",
            "city": "East Brunswick",
            "state": "NJ",
            "postal_code": "08816",
            "country_code": "US",
            "telephone_number": "848-266-5983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIMMER",
        "first_name": "KRISTEN",
        "middle_name": "ALICE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL07143900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.