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
Phone: (908) 850-6812
Fax: (908) 850-6846
Website:
Health care specialties
| Specialty | Code | License # | 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 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093902579 | NPPES |
| New Jersey | MEDICAID | 0380661 |
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