Kimberley Sue Mitchell-Rushmore, LCSW
Social Worker, Clinical in Basking Ridge, NJ. Individual provider (NPI-1).
NPI number1245032044
StatusActive
Last updated in NPPESMar 25, 2025
Details
- NPI
- 1245032044
- Entity type
- Individual (NPI-1)
- Name
- Kimberley Sue Mitchell-Rushmore
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 25, 2025
- Certification date
- Mar 25, 2025
- Last updated
- Mar 25, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 44SC04694200 | NJ | Yes |
| 1041C0700X | Social Worker, Clinical | 44SC4694200 | NJ |
Other names
- Kimberley S Mitchell (Professional Name)
Practice location
29 Fairbanks LnBasking Ridge, NJ 07920-1539
Phone 973-723-7360
Mailing address
29 Fairbanks LnBasking Ridge, NJ 07920-1539
Phone 973-723-7360
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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