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Provider Information for 1154527117


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SHARON SMITH-KEMPER LCSW


Sex: Female

NPI: 1154527117
Last Updated: 2024-11-14
Certification Date: 2024-11-14

Details

NameValue
NPI1154527117
Enumeration Date2007-06-26
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 671 HOES LN
PISCATAWAY, NJ 08854-5627
United States

Phone: | Fax:
 
Primary Practice Address 671 HOES LN
PISCATAWAY, NJ 08854-5627
United States

Phone: 800-969-5300 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101YA0400X - Counselor - Addiction (Substance Use Disorder)NJ37LC00325300
No 104100000X - Social Worker NJ44SL05412800
Yes 1041C0700X - Social Worker - ClinicalNJ44SC05455800