Individual provider Active NPI

Hillary Kindman, LCSW

  • Clinical Social Worker
  • Ocean, NJ
National Provider Identifier
1588117246
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC01391100 Issued in NJ
Practice address
3331 Sunset Ave
Ocean, NJ 07712-4554
Phone
(732) 807-5166
Fax
(732) 455-8248
NPI assigned
Jul 29, 2016
Last updated
Apr 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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 44SC01391100 NJ Primary

Addresses

Primary practice location

3331 Sunset Ave
Ocean, NJ 07712-4554

Mailing address

510 Deal Lake Dr Apt 12H
Asbury Park, NJ 07712-5176
Phone (917) 362-0042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170822000565 NJ Practitioner - Clinical Social Worker 5597037879 Reassigns benefits to 1 organization
I20240213004766 FL Practitioner - Clinical Social Worker 5597037879

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3331 Sunset Ave
Ocean, NJ 07712-4554
Phone (732) 807-5166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC01391100NJMDClinical Social Worker

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1469750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1588117246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 DEAL LAKE DR APT 12H",
            "city": "ASBURY PARK",
            "state": "NJ",
            "postal_code": "077125176",
            "telephone_number": "917-362-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3331 SUNSET AVE",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077124554",
            "telephone_number": "732-807-5166",
            "fax_number": "732-455-8248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINDMAN",
        "first_name": "HILLARY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-29",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC01391100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean, NJ

Sources for this page

Verify at the official NPI Registry.