Kimberly Mackanic, LCSW, LCADC is a
Social Worker - Clinical based in Hazlet, New Jersey. Kimberly Mackanic is licensed to practice in New Jersey (license number 44SC05601700) and her current practice location is
3036 Route 35 # 321, Hazlet, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(732) 630-5968.
NPI number for Kimberly Mackanic is 1003267337 and her current mailing address is 3036 Route 35 Ste 321, Hazlet, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003267337.
Healthcare Provider's Profile
Full Name | Kimberly Mackanic |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 3036 Route 35 # 321, Hazlet, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003267337
- Provider Enumeration Date: 06/28/2016
- Last Update Date: 08/30/2024
Medical Identifiers
Medical identifiers for Kimberly Mackanic such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003267337 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00293000 (New Jersey) | Secondary |
1041C0700X | Social Worker - Clinical | 44SC05601700 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Mackanic is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kimberly Mackanic, LCSW, LCADC 3036 Route 35 Ste 321, Hazlet, NJ 07730-1505 Ph: (732) 630-5968 | Kimberly Mackanic, LCSW, LCADC 3036 Route 35 # 321, Hazlet, NJ 07730-1505 Ph: (732) 630-5968 |
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