KIM THIESSEN (NPI# 1780911404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780911404 |
| Entity Type | Individual |
| Full Name | KIM THIESSEN |
| Credential | LCSW |
| Practice Address |
179 Palisade Ave Jersey City NJ 07306-1103 |
| Practice Telephone | 2017958375 |
| Mailing Telephone | 2017958683 |
| Enumeration Date | 2009-11-17 |
| Last Update Date | 2015-11-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
44SC05585200 | NJ | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
081313-1 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0468312 | 05 | |
| NY | 00079632 | 05 |
| Street Address |
179 PALISADE AVE |
| City | JERSEY CITY |
| State | NJ |
| Zip Code | 07306-1103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386710283 | Christ Hospital | Social Worker | 179 Palisade Ave, Jersey City, NJ 07306-1103 | 2006-11-24 |
| 1164021630 | Cecilia Eloisa Peraza | Social Worker | 179 Palisade Ave, Jersey City, NJ 07306-1103 | 2020-10-25 |
| 1376156604 | Kathleen Jaime | Social Worker | 179 Palisade Ave, Jersey City, NJ 07306-1103 | 2020-08-26 |
| 1093352858 | Christena Ibrahim | Counselor | 179 Palisade Ave, Jersey City, NJ 07306-1103 | 2019-11-28 |
| 1043860257 | Yuliya Disson | Social Worker | 179 Palisade Ave, Jersey City, NJ 07306-1103 | 2019-09-19 |
| 1609439876 | Laura Greer | Social Worker | 179 Palisade Ave, Jersey City, NJ 07306-1103 | 2019-04-15 |
| 1477048478 | Talisah Harrison | Social Worker | 179 Palisade Ave, Jersey City, NJ 07306-1103 | 2018-06-22 |
| 1497287742 | Anna Samoylov | Social Worker | 179 Palisade Ave, Jersey City, NJ 07306-1103 | 2017-03-28 |
| 1871966473 | Colleen Chiu | Counselor | 179 Palisade Ave, Jersey City, NJ 07306-1103 | 2015-11-04 |
| 1508292459 | Jacqueline F Wright | Counselor | 179 Palisade Ave, Jersey City, NJ 07306-1103 | 2013-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225655186 | Hazem Shokry Mohamed Abdelhafez | Physical Therapist | 2 Vroom St, 4 R Apt, Jersey City, NJ 07306 | 2020-06-26 |
| 1407498223 | Shweta Sitaram Shenoy | Physical Therapist | 208 Hopkins Avenue 2nd Floor, Jersey, NJ 07306 | 2019-10-14 |
| 1932679909 | Morgan Teeratananon | Occupational Therapist | 2854 John Fitzgerald Kennedy Blvd, Jersey City, NJ 07306 | 2018-12-03 |
| 1255824892 | Best Home Care Inc | Home Health | 879 Bergen Avenue, Ste 200, Ste 200, Jersey City, NJ 07306 | 2018-06-08 |
| 1518455203 | New Jersey Weight Loss & Surgery PC | Surgery | 1 Journal Square Plaza, 3rd Floor, Jersey City, NJ 07306 | 2018-04-27 |
| 1225546922 | Chungmoo Huh | Acupuncturist | 720 Bergen Ave, Jersey City, NJ 07306 | 2018-01-16 |
| 1215451042 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2859 61 Kennedy Blvd, Jersey City, NJ 07306 | 2017-08-02 |
| 1447789128 | Krishna Shah | Physical Therapist | 43 Central Avenue, Jersey City, NJ 07306 | 2017-06-07 |
| 1275075749 | Jersey City Home Care | Home Health | 780 Newark Avenue Suite #203, Jersey City, NJ 07306 | 2016-11-15 |
| 1356752380 | Dina Ibrahim | Podiatrist | 550 Newark Ave Ste 307, Jersey City, NJ 07306 | 2014-05-13 |
| Find all providers in zip 07306 | ||||
| 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 |
|---|---|---|---|---|
| 1275140485 | Tania Vargas | Social Worker | 155 Christopher Columbus Dr Apt 2l, Jersey City, NJ 07302-3566 | 2020-09-30 |
| 1295346310 | Jonathan Glick Lcsw | Social Worker | 208 Sherman Ave Apt 8, Jersey City, NJ 07307-2016 | 2020-08-12 |
| 1538778113 | Allison June Maroney-lobell | Social Worker | 607 Jersey Ave Apt 3, Jersey City, NJ 07302-2475 | 2020-07-29 |
| 1124641097 | Joseph Patrick Finn Jr. | Social Worker | 95 Columbus Dr, Jersey City, NJ 07302-2978 | 2020-05-26 |
| 1013554997 | Beth Elana Renov | Social Worker | 201 Montgomery Street, Second Floor, Office 2024, Jersey City, NJ 07302-5052 | 2019-12-10 |
| 1871138792 | Rachel Ann Khan-mccroy | Social Worker | 201 Marin Blvd Apt 511, Jersey City, NJ 07302-6494 | 2019-11-14 |
| 1427528090 | Beatriz Cruz | Social Worker | 395 Grand Street, Jersey City, NJ 07660 | 2018-11-27 |
| 1619450129 | Lisa Marie Jones | Social Worker | 152 Central Avenue, Bridgeway Crisis Intervention Services, Jersey City, NJ 07306-2119 | 2018-09-11 |
| 1265932404 | Yourself First, LLC | Social Worker | 101 Hudson St Ste 2100, Jersey City, NJ 07302-3929 | 2018-02-14 |
| 1477087229 | Kerrie Ann Gonzalez | Social Worker | Plaza 10, Suite 803, Jersey City, NJ 07030 | 2017-04-19 |
| Find all providers in JERSEY CITY | ||||
| City | JERSEY CITY |
| Zip Code | 07306 |
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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.