Individual provider Active NPI

Kathleen Dell, LCSW

  • Clinical Social Worker
  • Matawan, NJ
National Provider Identifier
1023166709
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00699500 Issued in NJ
Practice address
1088 State Route 34
Matawan, NJ 07747-1948
Phone
(732) 290-1700
Fax
(732) 290-0040
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC00699500 NJ Primary

Addresses

Primary practice location

1088 State Route 34
Matawan, NJ 07747-1948

Mailing address

1088 State Route 34
Matawan, NJ 07747-1948
Phone (732) 290-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023166709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1088 STATE ROUTE 34",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077471948",
            "telephone_number": "732-290-1700",
            "fax_number": "732-290-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1088 STATE ROUTE 34",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077471948",
            "telephone_number": "732-290-1700",
            "fax_number": "732-290-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELL",
        "first_name": "KATHLEEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00699500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matawan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.