Wimberly, Karen

Wimberly, Karen is an individual health care provider with primary practice located at 651 Willow Grove St , Hackettstown NJ 07840-1799. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wimberly, Karen can be contacted via phone (908) 850-6812.

Contact Information

Primary practice address
651 Willow Grove St Hackettstown NJ 07840-1799
Fax: (908) 850-6846
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC00583800 New Jersey

Profile Details

NPI number 1093902579
LBN Legal business name Wimberly, Karen
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2007
Last updated Dec 30th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093902579 NPPES
New Jersey MEDICAID 0380661

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