Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KIM THIESSEN LCSW
NPI 1780911404
Social Worker - Clinical in Jersey City, NJ

Q: What is Kim Thiessen's NPI number?

The NPI number for Kim Thiessen is 1780911404. It was assigned to this individual provider in the NPPES registry on November 17, 2009.

Q: What is Kim Thiessen's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Kim Thiessen was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 17, 2009PECOS EnrolledAccepts Medicare Assignment

179 PALISADE AVE, JERSEY CITY, NJ 07306(201) 795-8375 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kim Thiessen Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIM THIESSEN LCSW (NPI 1780911404) is an individual clinical provider in Jersey City, New Jersey, licensed in New Jersey (44SC05585200) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1780911404

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKIM THIESSENCredential: LCSW

Location Address179 PALISADE AVEJersey City, NJ 07306-1103

Mailing Address179 Palisade AveJersey City, NJ 07306-1103 · (201) 795-8683

Phone(201) 795-8375

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateNovember 17, 2009

Last NPPES UpdateJune 26, 2026

NPPES CertifiedJune 26, 2026

✔ NPI 1780911404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in NJ · 44SC05585200✔ Licensed in NY · 081313-1

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

179 PALISADE AVE, Jersey City, NJ 07306

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Other Identifiers 2

Medicaid0468312NJ

Medicaid00079632NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kim Thiessen Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820226681

PECOS Enrollment IDI20251006002341

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07306 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $63.84 – $190.92

Typical copayment $0.00 (range $15.96 – $47.73)

Most-billed visit code NA

Established Patient

$79.09 typical visit price

range $20.97 – $155.92

Typical copayment $19.77 (range $5.24 – $38.98)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRIST HOSPITAL

Counselor (Addiction (Substance Use Disorder))