Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1902444946 Deactivated / Inactive NPI Female Practitioner

Alyssa Kimbrough

Social Worker • Hillside, NJ

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Alyssa Kimbrough has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 19, 2019
NPI Deactivation Date May 25, 2022
Total Practice Duration ~3 Years of Practice (2019 – 2022)

Professional Overview & Biography Verified Profile Summary

Alyssa Kimbrough was a registered Social Worker practicing in Hillside, NJ. Throughout an active medical career spanning 3 years, Alyssa Kimbrough provided care at the practice location at 255 WINANS AVE until profile deactivation on 2022-05-25.

Practice Location & Contact Primary Location

Practice Address

255 Winans Ave

Hillside, NJ 072051448

Telephone 9088687784
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Hillside, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.2 Yrs
Regional Practice Density
6 Specialists

Practicing in Hillside, NJ (4301 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-03-09
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License NJ 44SL06355600

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Lsw
44SL06355600

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location March 09, 2023

Registered at 255 WINANS AVE, HILLSIDE, NJ 072051448 (Tel: 9088687784)

📍
Updated Business Mailing Address March 09, 2023

Registered at 255 WINANS AVE, HILLSIDE, NJ 072051448

👤
Provider Name / Credentials Updated March 09, 2023

Recorded as ALYSSA KIMBROUGH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 09, 2023

Social Worker (License #44SL06355600 in NJ)

⚠️
NPI Profile Deactivated May 25, 2022

Record deactivated on May 25, 2022

NPI Profile Active December 19, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location December 19, 2019

Registered at 255 WINANS AVE, HILLSIDE, NJ 072051448 (Tel: 9088687784)

📍
Updated Business Mailing Address December 19, 2019

Registered at 255 WINANS AVE, HILLSIDE, NJ 072051448

👤
Provider Name / Credentials Updated December 19, 2019

Recorded as ALYSSA KIMBROUGH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2019

Social Worker (License #44SL06355600 in NJ)

🟢
Initial NPI Registration & Enumeration December 19, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Alyssa Kimbrough. Be the first to share your experience!

Sign in to leave a review for Alyssa Kimbrough

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1902444946
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 19, 2019
Last Update: March 09, 2023
Deactivation Date: May 25, 2022
Sole Proprietor: Yes

Mailing Address

255 Winans Ave

Hillside, NJ 072051448

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.