Individual provider Active NPI

Karen Beth Zimmerman, LCSW

  • Clinical Social Worker
  • Hazlet, NJ
National Provider Identifier
1710009097
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04725000 Issued in NJ
Practice address
1 Bethany Rd Ste 12
Hazlet, NJ 07730-1659
Phone
(732) 570-7110
NPI assigned
Apr 6, 2007
Last updated
Jun 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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 44SC04725000 NJ Primary

Addresses

Primary practice location

1 Bethany Rd Ste 12
Hazlet, NJ 07730-1659

Mailing address

1 Bethany Rd Ste 12
Hazlet, NJ 07730-1659
Phone (732) 570-7110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240221000080 NJ Practitioner - Clinical Social Worker 4082067103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Bethany Rd
Suite 12
Hazlet, NJ 07730-1659
Phone (732) 570-7110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC04725000NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Monmouth Counseling, LLC CurrentSince Dec 13, 2023 Accepting new patients

Locations

1 Bethany Rd
Ste 10B
Hazlet, NJ 07730
Phone (732) 264-2611

1 Bethany Rd
Ste 12
Hazlet, NJ 07730
Phone (732) 570-7110

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": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1710009097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BETHANY RD STE 12",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301659",
            "telephone_number": "732-570-7110",
            "fax_number": "732-856-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BETHANY RD STE 12",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301659",
            "telephone_number": "732-570-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "KAREN",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04725000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazlet, NJ

Sources for this page

Verify at the official NPI Registry.