Kimberley Sue Mitchell-Rushmore, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC04694200 Issued in NJ

Practice address

29 Fairbanks LN
Basking Ridge, NJ 07920-1539

Phone

(973) 723-7360

NPI assigned

Mar 25, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Kimberley S Mitchell Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1245032044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 FAIRBANKS LN",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079201539",
            "telephone_number": "973-723-7360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 FAIRBANKS LN",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079201539",
            "telephone_number": "973-723-7360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL-RUSHMORE",
        "first_name": "KIMBERLEY",
        "middle_name": "SUE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC4694200",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04694200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLEY",
            "last_name": "MITCHELL",
            "middle_name": "S",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Janice P Milstein, PH.D., BCBA-D
• Mind Matters Psychiatry, LLC
• Mindsync Psychiatry LLC
• Mindsync Psychiatry LLC
• Mira Desai, LLC
• Aimee M Mitchell, ATC
• Sophia Mitchell
• Modern Movement LLC
• Fonda Jan Mojka, BCBA
• Thomas Anthony Molinaro, MD

• Clinical Social Worker in Basking Ridge, NJ
• Providers in Basking Ridge, 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 Mar 25, 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.