Individual provider Active NPI

Debra Kimball-Ritter, L.C.S.W.

  • Clinical Social Worker
  • Ocean, NJ
National Provider Identifier
1629272430
Registry record updated Oct 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SC05234000 Issued in NJ
Practice address
2002 Sunset Ave
Ocean, NJ 07712-4674
Phone
(732) 598-4344
Fax
(732) 774-0675
NPI assigned
Jun 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 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 SC05234000 NJ Primary

Addresses

Primary practice location

2002 Sunset Ave
Ocean, NJ 07712-4674

Mailing address

1916 Cottage PL
Wall Township, NJ 07719-3332
Phone (732) 598-4344

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
SC05234000NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191801600000",
    "number": "1629272430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 COTTAGE PL",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077193332",
            "telephone_number": "732-598-4344",
            "fax_number": "732-774-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 SUNSET AVE",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077124674",
            "telephone_number": "732-598-4344",
            "fax_number": "732-774-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBALL-RITTER",
        "first_name": "DEBRA",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2007-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "SC05234000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean, NJ

Sources for this page

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