Individual provider Active NPI

Kimberly A. Kahn, LCSW

  • Clinical Social Worker
  • Ocean, NJ
National Provider Identifier
1841604584
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
081938 Issued in NY
Practice address
1205 State Route 35
Ocean, NJ 07712-4077
Phone
(971) 659-2101
NPI assigned
Jun 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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 081938 NY Primary

Addresses

Primary practice location

1205 State Route 35
Ocean, NJ 07712-4077

Mailing address

17 Charles CT
Ocean, NJ 07712-7939
Phone (917) 659-2101

Other practice location 1

4300 Broadway
5f
New York, NY 10033-3724
Phone (917) 659-2101

Other names 1

  • Kimberly A. Shansky Former name

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
I20251203001971 NJ Practitioner - Clinical Social Worker 5698268183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
La Luna Counseling and Wellness IncGroup PAC ID 7113442708, 7 clinicians

Practice addresses (Care Compare)

Colts Neck, NJ 07722
Phone (732) 943-6791

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
081938NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
La Luna Counseling and Wellness Inc CurrentSince Oct 31, 2025 Accepting new patients
Kimberly Kahn, LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1841604584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CHARLES CT",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077127939",
            "telephone_number": "917-659-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 STATE ROUTE 35",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077124077",
            "telephone_number": "971-659-2101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4300 Broadway",
            "address_2": "5f",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100333724",
            "country_code": "US",
            "telephone_number": "917-659-2101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAHN",
        "first_name": "KIMBERLY",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-19",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "081938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "SHANSKY",
            "middle_name": "A.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ocean, NJ

Sources for this page

Verify at the official NPI Registry.