Individual provider Active NPI

Nancy Jo Kislin, LCSW

  • Clinical Social Worker
  • Short Hills, NJ
National Provider Identifier
1497803357
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
33SC01451700 Issued in NJ
Practice address
6 Chaucer Rd
Short Hills, NJ 07078-2901
Phone
(973) 912-0391
NPI assigned
Jan 8, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 33SC01451700 NJ Primary

Addresses

Primary practice location

6 Chaucer Rd
Short Hills, NJ 07078-2901

Mailing address

6 Chaucer Rd
Short Hills, NJ 07078-2901
Phone (973) 912-0391

Other names 1

  • Nancy Kislin Flaum 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
33SC01451700NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497803357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CHAUCER RD",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070782901",
            "telephone_number": "973-912-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CHAUCER RD",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070782901",
            "telephone_number": "973-912-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISLIN",
        "first_name": "NANCY",
        "middle_name": "JO",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "33SC01451700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "FLAUM",
            "middle_name": "KISLIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Short Hills, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.