Provider Demographics
NPI:1316024581
Name:SCHUMACHER, KIMBERLY EILEEN (MSW)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:EILEEN
Last Name:SCHUMACHER
Suffix:
Gender:
Credentials:MSW
Other - Prefix:
Other - First Name:KIMBERLY
Other - Middle Name:E
Other - Last Name:MARTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:69 PEASE AVE
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:NJ
Mailing Address - Zip Code:07044-1406
Mailing Address - Country:US
Mailing Address - Phone:908-403-9106
Mailing Address - Fax:
Practice Address - Street 1:10 JAMES ST STE 150
Practice Address - Street 2:
Practice Address - City:FLORHAM PARK
Practice Address - State:NJ
Practice Address - Zip Code:07932-1426
Practice Address - Country:US
Practice Address - Phone:973-822-2000
Practice Address - Fax:973-822-2001
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL05289800101Y00000X
NJ44SC053669001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor