Individual provider Active NPI

Kimberly Anne Schaffer, MSW, LCSW

  • Clinical Social Worker
  • Hackettstown, NJ
National Provider Identifier
1285783886
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SC05209100 Issued in NJ
Practice address
1 Edgeview Dr Ste 2B
Hackettstown, NJ 07840-4003
Phone
(908) 246-1480
NPI assigned
Jan 10, 2007
Last updated
Mar 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SC05209100 NJ Primary

Addresses

Primary practice location

1 Edgeview Dr Ste 2B
Hackettstown, NJ 07840-4003

Mailing address

1 Edgeview Dr Ste 2B
Hackettstown, NJ 07840-4003
Phone (908) 246-1480

Other names 1

  • Kimberly Anne Robba Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC05209100NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kimberly Schaffer, LLC Clinical CurrentSince Mar 29, 2020 Accepting new patients

Locations

1 Edgeview Dr
Ste 2B
Hackettstown, NJ 07840
Phone (908) 224-0838

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1285783886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EDGEVIEW DR STE 2B",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078404003",
            "telephone_number": "908-246-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EDGEVIEW DR STE 2B",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078404003",
            "telephone_number": "908-246-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFFER",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "SC05209100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "ROBBA",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hackettstown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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.