Lora Amy Kimball, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05923600 Issued in NJ

Practice address

499 Marlboro Rd Ste 1
Old Bridge, NJ 08857-3746

Phone

(732) 543-1600

NPI assigned

Oct 16, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1602806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1902404346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 FELTON AVE",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042218",
            "telephone_number": "917-324-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 MARLBORO RD STE 1",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573746",
            "telephone_number": "732-543-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBALL",
        "first_name": "LORA",
        "middle_name": "AMY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-16",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05923600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rupa Mahendra Khandwala, P.A.
• Hillary Rosen Khodari, DMD
• Kidney Life, LLC (Old Bridge Dialysis)
• Kidzdent Childrens Dental Center LLC
• Kidzdent-Childrens Dental Care
• Ashley Kipness, PSY.D.
• KM Medical Supplies
• Kobe's Harmony Home Inc.
• Emily Koerner, OT/R
• Deanna Koss, M.A., CCC-SLP

• Clinical Social Worker in Old Bridge, NJ
• Providers in Old Bridge, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; 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.