Active NPIIndividual providerSole proprietor

Elizabeth Jimenez, CSW

Social Worker, Clinical in Lakewood, New Jersey

NPI Number1386179679
Practice location
13 Freedom Dr, Lakewood, NJ 08701-4159
Fax
888-371-0842
Last updated
April 25, 2017

Elizabeth Jimenez is a Social Worker, Clinical based in Lakewood, NJ. Elizabeth Jimenez practices in Lakewood, NJ and has the professional credentials of CSW. The NPI Number for Elizabeth Jimenez is 1386179679 and holds a License No. 44SC01167300 (NJ). The current practice location address for Elizabeth Jimenez is 13 Freedom Dr, Lakewood, NJ 08701-4159 and can be reached out via phone at 718-506-1115 and via fax at 888-371-0842.

Provider Profile Details

NPI Number
1386179679
Provider Name
Elizabeth Jimenez
Credential
CSW
Provider Entity Type
Individual
Gender
Female
Address
13 Freedom Dr, Lakewood, NJ 08701-4159
Phone Number
718-506-1115
Fax Number
888-371-0842
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
April 25, 2017
Last Update Date
April 25, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
13 Freedom Dr
Lakewood, NJ 08701-4159
Zip
08701-4159
Phone Number
718-506-1115
Fax Number
888-371-0842
Lakewood, NJ 08701Get directions →

Provider Business Mailing Address Details

Address
50 Brookfield RD
Montclair, NJ 07043-1302
City
Montclair
State
NJ
Zip
07043-1302
Phone Number
973-572-3332

License Information

License Number
44SC01167300
License State
NJ
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Elizabeth Jimenez, CSW?

The NPI number of Elizabeth Jimenez, CSW is 1386179679. It was assigned on April 25, 2017 and is currently active in the NPPES registry.

What is the specialty of Elizabeth Jimenez, CSW?

Elizabeth Jimenez, CSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC01167300.

Where does Elizabeth Jimenez, CSW practice?

The practice location is 13 Freedom Dr, Lakewood, NJ 08701-4159. The office can be reached at 718-506-1115 (phone) or 888-371-0842 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1386179679 directly on the NPPES registry website.

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