Kimberly Allen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05833200 Issued in NJ

Practice address

940 Cedar Bridge Ave
Brick, NJ 08723-4170

Phone

(732) 604-0761

NPI assigned

Dec 20, 2018

Last updated

May 11, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Self-Care Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sayreville, NJ
  • NPI 1043832207
  NPD Authorized official

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

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1467924969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 CANAL ST",
            "city": "SAYREVILLE",
            "state": "NJ",
            "postal_code": "088721072",
            "telephone_number": "732-604-0761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 CEDAR BRIDGE AVE",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087234170",
            "telephone_number": "732-604-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "KIMBERLY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-20",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05833200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• All Around Senior Care
• All Around Senior Care
• All-Care Physical Therapy Center
• Allcare Orthotic & Prosthetic Services, LLC
• Colleen G. Allen, MSCCC-A
• Allies, Inc.
• Allies, Inc.
• Allies, Inc.
• Allies, Inc.
• Allies, Inc.

• Clinical Social Worker in Brick, NJ
• Providers in Brick, 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 May 11, 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.