Individual provider Active NPI

Kimberly Clerie

  • Clinical Social Worker
  • Florham Park, NJ
National Provider Identifier
1427633312
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
30A Vreeland Rd Ste 301
Florham Park, NJ 07932-1924
Phone
(973) 765-9050
Fax
(973) 765-0195
NPI assigned
Mar 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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 Primary

Addresses

Primary practice location

30A Vreeland Rd Ste 301
Florham Park, NJ 07932-1924

Mailing address

30A Vreeland Rd Ste 301
Florham Park, NJ 07932-1924
Phone (973) 765-9050

Other identifiers 1

IdentifierTypeStateIssuer
44SC06611600OtherNJLCSW

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260207000512 NJ Practitioner - Clinical Social Worker 7719466051 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jewish Family Service of MetrowestGroup PAC ID 7911978093, 16 clinicians

Practice addresses (Care Compare)

30 A Vreeland Rd
Suite 301
Florham Park, NJ 07932-1904
Phone (973) 765-9050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Empowered Hearts & Minds Counseling & Psychotherapy Clinical CurrentSince Feb 1, 2022 Accepting new patients
Jewish Family Service of Metrowest CurrentSince Jan 15, 2026 Accepting new patients
Jewish Family Service of Metrowest CurrentSince Jan 15, 2026 Accepting new patients

Locations

256 Columbia Tpke
Ste 105
Florham Park, NJ 07932
Phone (973) 765-9050

30A Vreeland Rd
Ste 301
Florham Park, NJ 07932
Phone (973) 637-1706

300 Executive Dr
Ste 185
West Orange, NJ 07052
Phone (973) 765-9050

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1427633312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30A VREELAND RD STE 301",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321924",
            "telephone_number": "973-765-9050",
            "fax_number": "973-765-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30A VREELAND RD STE 301",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321924",
            "telephone_number": "973-765-9050",
            "fax_number": "973-765-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLERIE",
        "first_name": "KIMBERLY",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-12",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "44SC06611600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florham Park, NJ

Sources for this page

Verify at the official NPI Registry.