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1245032044 NPI number — KIMBERLEY SUE MITCHELL-RUSHMORE LCSW

NPI Number: 1245032044
Health Care Provider/Practitioner: KIMBERLEY SUE MITCHELL-RUSHMORE LCSW

Information about “1245032044” NPI (KIMBERLEY SUE MITCHELL-RUSHMORE LCSW) exists in 1245032044 in HTML format HTML  |  1245032044 in plain Text format TXT  |  1245032044 in PDF (Portable Document Format) PDF  |  1245032044 in an XML format XML  formats.

NPI Number : 1245032044 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1245032044",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MITCHELL-RUSHMORE",
    "FirstName": "KIMBERLEY",
    "MiddleName": "SUE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MITCHELL",
    "OtherFirstName": "KIMBERLEY",
    "OtherMiddleName": "S",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LCSW",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "29 FAIRBANKS LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BASKING RIDGE",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07920-1539",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "973-723-7360",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "29 FAIRBANKS LN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BASKING RIDGE",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07920-1539",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "973-723-7360",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/25/2025",
    "LastUpdateDate": "03/25/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "44SC4694200",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "44SC04694200",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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