Individual provider · Type 1 NPI

Kimberly Mackanic, LCSW, LCADC

Clinical Social Worker · Hazlet, NJ

NPI number 1003267337 Active

Practice location

3036 Route 35 # 321
Hazlet, NJ 07730-1505

Mailing address

3036 Route 35 Ste 321
Hazlet, NJ 07730-1505

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X37LC00293000 (NJ)
Clinical Social Worker Primary 1041C0700X44SC05601700 (NJ)

Clinical Social Worker: 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 interpers…

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About NPI 1003267337

Kimberly Mackanic, LCSW, LCADC's National Provider Identifier is 1003267337, issued on Jun 28, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Hazlet, NJ. The record was last updated on Jun 12, 2026.