Individual provider · Type 1 NPI

Kim Thiessen, LCSW

Clinical Social Worker · Jersey City, NJ

NPI number 1780911404 Active

Practice location

179 Palisade Ave
Jersey City, NJ 07306-1103

Other practice locations

  • 256 Broad St # 2E, Bloomfield, NJ 07003-2766 · (862) 456-1809
  • 96 Millburn Ave Ste 101, Millburn, NJ 07041-1941 · (862) 424-9813
  • 26 Journal Sq Ste 505, Jersey City, NJ 07306-4105 · (201) 632-5554

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X081313-1 (NY)
Clinical Social Worker Primary 1041C0700X44SC05585200 (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 1780911404

Kim Thiessen, LCSW's National Provider Identifier is 1780911404, issued on Nov 17, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jersey City, NJ. The record was last updated on Jun 26, 2026.