Kimberly Allen, LCSW
Individual provider Active NPI Clinical Social Worker · Brick, NJ
NPI 1467924969 · NPPES record last updated May 11, 2020
Key facts
- NPI
- 1467924969
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44SC05833200 (NJ)
- Practice address
- 940 Cedar Bridge Ave
Brick, NJ 08723-4170 - Phone
- (732) 604-0761
- NPI assigned
- Dec 20, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05833200 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Self-Care Counseling LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05833200 | NJ | Yes |
Addresses
Primary practice location
940 Cedar Bridge Ave
Brick, NJ 08723-4170
Mailing address
82 Canal St
Sayreville, NJ 08872-1072
Phone (732) 604-0761
Other providers in Brick, NJ
- All Around Senior Care
- All Around Senior Care
- All-Care Physical Therapy Center
- Allcare Orthotic & Prosthetic Services, LLC
- Colleen G. Allen
- Allies, Inc.
- Allies, Inc.
- Allies, Inc.
- Allies, Inc.
- Allies, Inc.
All providers in Brick, NJ · Clinical Social Worker in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.