Active NPI
Kristen Alice Wimmer, LSW
- Social Worker
- New Brunswick, NJ
National Provider Identifier
1104715754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SL07143900
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL07143900 | NJ | MD | Social 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.