Jacqueline Khouzam, MSW, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SL06863700 Issued in NJ

Practice address

88 Orchard Rd
Skillman, NJ 08558-2642

Phone

(908) 321-2820

NPI assigned

Apr 18, 2025

Sex

Unspecified or another gender identity

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": "1744934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1386430007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 STATE ROUTE 57 W",
            "city": "WASHINGTON",
            "state": "NJ",
            "postal_code": "078823523",
            "telephone_number": "908-321-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 ORCHARD RD",
            "city": "SKILLMAN",
            "state": "NJ",
            "postal_code": "085582642",
            "telephone_number": "908-321-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOUZAM",
        "first_name": "JACQUELINE",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-04-18",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06863700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tessa Kettelkamp
• Mary Elizabeth Kindig, MSW
• Lorna Kirby, LSW
• Mark Kitzie, PSY.D.
• Melissa Hall Klepacki, M.AC.
• Diane J Kmec, M.D.,L.L.C.

• Social Worker in Skillman, NJ
• Providers in Skillman, 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 Apr 18, 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.