Kathleen S Galasso

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC04791500 Issued in NJ

Practice address

339 Canterbury LN
Wyckoff, NJ 07481-2305

Phone

(201) 954-5552

NPI assigned

May 18, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kathleen Galasso LCSW

  • Adult Mental Health Clinic/Center
  • Wyckoff, NJ
  • NPI 1629640883
  Medicare reassignment NPD Authorized official
• Senior Care Therapy LLC

  • Clinical Psychologist
  • Passaic, NJ
  • NPI 1285898098
  Medicare reassignment NPD
• Wellqor Psychological Services Northeast, PC

  • Clinical Psychologist
  • Highland Park, NJ
  • NPI 1326442567
  Medicare reassignment NPD
• Newbridge Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Parsippany, NJ
  • NPI 1982768420
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1003306689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 CANTERBURY LN",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074812305",
            "telephone_number": "201-954-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 CANTERBURY LN",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074812305",
            "telephone_number": "201-954-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALASSO",
        "first_name": "KATHLEEN",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-18",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04791500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elliot Paul Frey, DMD
• Noel Friedland, M.D.
• Christopher R Friedlander, LCSW
• Stephen Gal, M.D.,PH.D.
• Jennifer M Galan, APN-BC
• David Joseph Gallina, M.D.,
• Nancy Burleigh Gallina, PHD
• Joseph J Gartner, MD
• Gary Goodmark DC PA
• Mary Geen

• Clinical Social Worker in Wyckoff, NJ
• Providers in Wyckoff, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.