Active NPIIndividual provider

Kim Thiessen, LCSW

Social Worker, Clinical in Jersey City, New Jersey

NPI Number1780911404
Practice location
179 Palisade Ave, Jersey City, NJ 07306-1103
Fax
—
Last updated
June 26, 2026

Kim Thiessen is a Social Worker, Clinical based in Jersey City, NJ. Kim Thiessen practices in Jersey City, NJ and has the professional credentials of LCSW. The NPI Number for Kim Thiessen is 1780911404 and holds a License No. 081313-1 (NY). The current practice location address for Kim Thiessen is 179 Palisade Ave, Jersey City, NJ 07306-1103 and can be reached out via phone at 201-795-8375.

Provider Profile Details

NPI Number
1780911404
Provider Name
Kim Thiessen
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
179 Palisade Ave, Jersey City, NJ 07306-1103
Phone Number
201-795-8375
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
November 17, 2009
Last Update Date
June 26, 2026
Certification Date
June 26, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
179 Palisade Ave
Jersey City, NJ 07306-1103
Zip
07306-1103
Phone Number
201-795-8375
Jersey City, NJ 07306Get directions →

Provider Business Mailing Address Details

Address
179 Palisade Ave
Jersey City, NJ 07306-1103
City
Jersey City
State
NJ
Zip
07306-1103
Phone Number
201-795-8683

License Information

License Number (1)
081313-1
License State (1)
NY
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
44SC05585200
License State (2)
NJ
Taxonomy (2)
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 Kim Thiessen, LCSW?

The NPI number of Kim Thiessen, LCSW is 1780911404. It was assigned on November 17, 2009 and is currently active in the NPPES registry.

What is the specialty of Kim Thiessen, LCSW?

Kim Thiessen, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number 081313-1.

Where does Kim Thiessen, LCSW practice?

The practice location is 179 Palisade Ave, Jersey City, NJ 07306-1103. The office can be reached at 201-795-8375 (phone).

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 1780911404 directly on the NPPES registry website.

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