Kimberly Anne Raso, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SL06132300 Issued in NJ

Practice address

108 Bilby Rd Ste 302
Hackettstown, NJ 07840-4174

Phone

(908) 852-0333

Fax

(908) 852-8732

NPI assigned

Mar 4, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Kimberly Anne Chidiac Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1659966430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "492 ROUTE 57 W",
            "city": "WASHINGTON",
            "state": "NJ",
            "postal_code": "078824411",
            "telephone_number": "908-689-1000",
            "fax_number": "908-689-4529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 BILBY RD STE 302",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078404174",
            "telephone_number": "908-852-0333",
            "fax_number": "908-852-8732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASO",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06132300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "CHIDIAC",
            "middle_name": "ANNE",
            "prefix": "MS.",
            "credential": "LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Radiology Associates of Hackettstown LLC (Imagecare at Hackettstown RAH)
• Sidrah Rafiq, M.D.
• Narenderan Rajan, DMD
• Shayan Rakhit, PHARM. D.
• Randolph Center for Oral and Maxillofacial Surgery, LLC
• Rachna Rastogi
• Eric Paul Rauschenberger, LPC
• Syed Mohsin Raza, MD
• Corinne E Reamer, RNFA
• Cindy T Redmond, CERTIFIED NURSE MIDW

• Social Worker in Hackettstown, NJ
• Providers in Hackettstown, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.