Krystal Halim, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SL07014500 Issued in NJ

Practice address

646 NJ Route 18
Building a Suite 105
East Brunswick, NJ 08816

Phone

(732) 718-8243

NPI assigned

Sep 25, 2024

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1245057751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 CHANDLER AVE",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "072031320",
            "telephone_number": "917-963-1762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 NJ ROUTE 18",
            "address_2": "BUILDING A SUITE 105",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "08816",
            "telephone_number": "732-718-8243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALIM",
        "first_name": "KRYSTAL",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL07014500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Stella I Han, MD
• Suhyoun Han, PHARMD
• Suzan M Hana, D.D.S.

• Social Worker in East Brunswick, NJ
• Providers in East Brunswick, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.