Kimberly C Agresta, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05347700 Issued in NJ

Practice address

547 Main Street
Hackensack, NJ 07601

Phone

(201) 784-6718

NPI assigned

Feb 27, 2008

Last updated

Feb 27, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bryan K. Bajakian DC PC

  • Chiropractor
  • Hackensack, NJ
  • NPI 1295922136
  NPD (past)

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1235308925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BLACKLEDGE CT",
            "city": "CLOSTER",
            "state": "NJ",
            "postal_code": "07624",
            "telephone_number": "201-784-6718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 MAIN STREET",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "07601",
            "telephone_number": "201-784-6718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGRESTA",
        "first_name": "KIMBERLY",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05347700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Aganova, PSYD
• Jay Agarwal
• Aakash Aggarwal, MD
• Agile Infusion Medicine PC
• Harry Agress Jr., M.D.
• Angela Suguey Aguilar, APN
• Michelle Tiffany Rayoso Aguilar, DNP
• Amanda Alyse Ahearn, BA
• Jaime Avtar Ahluwalia, DPM
• Eshwa B Ahmadi, M.D.

• Clinical Social Worker in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.