KIMBERLY C AGRESTA (NPI# 1235308925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235308925 |
| Entity Type | Individual |
| Full Name | KIMBERLY C AGRESTA |
| Credential | LCSW |
| Practice Address |
547 Main Street Hackensack NJ 07601 |
| Mailing Address |
4 Blackledge Ct Closter NJ 07624 |
| Practice Telephone | 2017846718 |
| Mailing Telephone | 2017846718 |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2008-02-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
44SC05347700 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
547 MAIN STREET |
| City | HACKENSACK |
| State | NJ |
| Zip Code | 07601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932219045 | Dr Richard D Santucci Dc Pa | Chiropractor | 547 Main Street, Hackensack, NJ 07601 | 2006-08-30 |
| 1356839443 | Richard Dominic Santucci | Chiropractor | 547 Main Street, Hackensack, NJ 07601 | 2018-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989414 | Alpha Healthcare Staffing Firm, LLC | Registered Nurse | 194 Passaic Street, Hackensack, NJ 07601 | 2020-10-15 |
| 1396350120 | Lower Limb Institute | Podiatrist | 211 Esses Street, Suite 405, Hackesack, NJ 07601 | 2020-09-09 |
| 1649825233 | Rachel Korenblit | Social Worker | 235 Main St Ste 203, Hackensack, NJ 07601 | 2019-08-09 |
| 1740846567 | Samantha Pirnat | Counselor | 426 Hudson Street, 2nd Floor, Hackensack, NJ 07601 | 2019-05-16 |
| 1881258499 | Tara Lynn Smith | Social Worker | 160 South River Street, Hackensack, NJ 07601 | 2019-04-29 |
| 1922569318 | Solomon Isakov | Dentist | 835 Prospect Ave, Suite 304, Hackensack, NJ 07601 | 2019-03-27 |
| 1114403409 | Mildred Lopez Vasquez | Home Health Aide | 12 Rowland Avenue, Hackensack, NJ 07601 | 2018-07-19 |
| 1538656582 | Zara Pharmacy LLC | Pharmacy | 57 Linden St, Hackensack, NJ 07601 | 2018-04-16 |
| 1447759048 | Maryann Hom | Social Worker | 307 Prospect Avenue, 14e, Hackensack, NJ 07601 | 2018-02-08 |
| 1699274258 | Kirsten Byrnes | Psychologist | Audrey Hepburn Children's House, Hackensack Umc, 12 Second St, Hackensack, NJ 07601 | 2018-02-08 |
| Find all providers in zip 07601 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649825233 | Rachel Korenblit | Social Worker | 235 Main St Ste 203, Hackensack, NJ 07601 | 2019-08-09 |
| 1184277105 | Terasa Tanelli | Social Worker | 75 Essex St Ste 110, Hackensack, NJ 07601-4034 | 2019-07-18 |
| 1861978553 | Bryana Cook | Social Worker | 112 Highway 371 S, Hackensack, MN 56452-2638 | 2018-07-16 |
| 1447759048 | Maryann Hom | Social Worker | 307 Prospect Avenue, 14e, Hackensack, NJ 07601 | 2018-02-08 |
| 1770941031 | Milton A Kaufman | Social Worker | 25 Grand Ave Apt 2b, Hackensack, NJ 07601-4638 | 2016-02-02 |
| 1649608852 | Karen A Venezia | Social Worker | Jtcc @humc 92 Second Street, Jtcc 3rd Floor, Hackensack, NJ 07601 | 2013-10-25 |
| 1316371339 | Jared P Delancey | Social Worker | 70 Polifly Rd, #307, Hackensack, NJ 07601-3216 | 2013-08-27 |
| 1679816722 | Ivelise Velez | Social Worker | 560 Hudson St, 3-2, Hackensack, NJ 07601-6655 | 2013-03-27 |
| 1942563515 | Maria Molina | Social Worker | 100 2nd St Apt 307, Hackensack, NJ 07601-2135 | 2012-06-19 |
| 1720306434 | Aimee Lee Marston | Social Worker | 75 Essex Street, Suite 206, Hackensack, NJ 07601-4035 | 2010-05-06 |
| Find all providers in HACKENSACK | ||||
| City | HACKENSACK |
| Zip Code | 07601 |
Please comment or provide details below to improve the information on KIMBERLY C AGRESTA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.