Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly Mackanic, LCSW, LCADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1003267337

Kimberly Mackanic, LCSW, LCADC is an Addiction (Substance Use Disorder) Counselor in Hazlet, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2016
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

3036 Route 35 # 321
Hazlet, NJ 07730-1505
Phone: (732) 630-5968
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 44SC05601700 (NJ)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 37LC00293000 (NJ)

Record details

NPI number1003267337
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , LCADC
Sole proprietorYes
NPI enumeratedJune 28, 2016
Last updated in NPPESJune 12, 2026
Certification dateJune 12, 2026

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