MRS. NICOLE M KISSAM (NPI# 1689143208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689143208 |
| Entity Type | Individual |
| Full Name | MRS. NICOLE M KISSAM |
| Credential | LSW |
| Practice Address |
600 River Ave Lakewood NJ 08701-5237 |
| Practice Telephone | 7319141688 |
| Mailing Telephone | 7319141688 |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2018-11-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 44SL06062900 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
600 RIVER AVE |
| City | LAKEWOOD |
| State | NJ |
| Zip Code | 08701-5237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659376317 | Acutecare Health System LLC | General Acute Care Hospital | 600 River Ave, 4 West, Lakewood, NJ 08701-5237 | 2005-06-17 |
| 1740819168 | Courtney Marie Keville | Physician Assistant | 600 River Ave, Lakewood, NJ 08701-5237 | 2020-04-07 |
| 1063944643 | Kate Bianchini | Registered Nurse | 600 River Ave, Lakewood, NJ 08701-5237 | 2017-04-01 |
| 1770027138 | Michael Olukotun | Nurse Practitioner | 600 River Ave, Lakewood, NJ 08701-5237 | 2016-12-05 |
| 1154870202 | Jaclyn Beck | Physician Assistant | 600 River Ave, Lakewood, NJ 08701-5237 | 2016-09-30 |
| 1245682491 | Garima Kalra | Internal Medicine | 600 River Ave, Lakewood, NJ 08701 | 2016-07-11 |
| 1588018840 | Lakewood Hospitalists | Psychiatry & Neurology | 600 River Ave, Lakewood, NJ 08701-5237 | 2016-04-22 |
| 1568821981 | Allyson Walsh | Nurse Practitioner | 600 River Ave, Lakewood, NJ 08701-5237 | 2016-02-12 |
| 1588047781 | Hilary Fuirita | Physician Assistant | 600 River Ave, Lakewood, NJ 08701-5237 | 2015-07-07 |
| 1932593670 | Lina Perumpail | Nurse Practitioner | 600 River Ave, Lakewood, NJ 08701-5237 | 2015-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639787393 | Sky Care Aba LLC | Social Worker | 41 Carasaljo Drive, Lakewood, NJ 08701 | 2020-07-20 |
| 1487276325 | Teresa Rose Alvarez | Counselor | 1215 Nj-70 W, Lakewood, NJ 08701 | 2020-05-14 |
| 1417588468 | Miriam Pelberg | Behavioral Analyst | 519 Second St., Lakewood, NJ 08701 | 2020-01-29 |
| 1639700529 | Rivky Parnes | Occupational Therapy Assistant | 110 Hillside Bullivard, Lakewood, NJ 08701 | 2020-01-29 |
| 1659910172 | Esther Gold | Behavioral Analyst | 611 Stirling Ave A, Lakewood Township, NJ 08701 | 2020-01-01 |
| 1649816323 | Julie Mcculley | Orthotist | 1353 River Ave Suite #4, Lakewood, NJ 08701 | 2019-11-18 |
| 1356990782 | Lucy Dimeglio | Technician | 17 Amberlands Court, Lakewood, NJ 08701 | 2019-09-09 |
| 1992262299 | Miriam Lichtschein | Speech-Language Pathologist | 1439 South Street, Lakewood, NJ 08701 | 2019-02-23 |
| 1407326531 | Achievements Early Intervention Services | Community/Behavioral Health | 85a Gladiola Ct, Lakewood, NJ 08701 | 2018-12-02 |
| 1871062224 | Ms Optical LLC | Eyewear Supplier (Equipment, not the service) | 12 America Ave, 1a, Lakewood, NJ 08701 | 2018-11-15 |
| Find all providers in zip 08701 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700402732 | Lara O'shaughnessy | Social Worker | 1020 Upham St, Lakewood, CO 80214-4219 | 2020-06-25 |
| 1164053591 | Jennifer Johnstone | Social Worker | 14701 Detroit Ave Ste 620, Lakewood, OH 44107-4180 | 2020-02-04 |
| 1013563162 | Tabitha Kay Shackleton | Social Worker | 6632 W Mississippi Way, Lakewood, CO 80232-5668 | 2019-08-14 |
| 1669026928 | Nicole Versaw | Social Worker | 1512 S Owens St Apt 231, Lakewood, CO 80232-6009 | 2019-07-25 |
| 1861045114 | James Ngigi Wachira | Social Worker | 7409 Coral Ln Sw, Lakewood, WA 98498 | 2019-07-16 |
| 1740740273 | Stephanie Summers | Social Worker | 5409 W 16th Ave, Lakewood, CO 80214-1732 | 2019-03-21 |
| 1629545942 | Cara Jane Thornburg | Social Worker | 2381 Garland St, Lakewood, CO 80215-1631 | 2018-10-24 |
| 1326522210 | Lawrence M Roth | Social Worker | 14701 Detroit Ave Ste 363, Lakewood, OH 44107 | 2018-09-18 |
| 1578059903 | Sky Therapy | Social Worker | 41 Carasaljo Dr, Lakewood, NJ 08701-2309 | 2018-07-09 |
| 1336645498 | Nicole Margaret Craig | Social Worker | 17317 Madison Ave Apt 12, Lakewood, OH 44107-3568 | 2018-04-05 |
| Find all providers in LAKEWOOD | ||||
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| 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.