Individual provider Active NPI

Kathleen Elizabeth Wright, LCSW

  • Clinical Social Worker
  • Flemington, NJ
National Provider Identifier
1033433636
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05845500 Issued in NJ
Practice address
349 Route 31
Building a, Suit 302
Flemington, NJ 08822
Phone
(908) 872-2695
NPI assigned
Mar 25, 2010
Last updated
Nov 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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 44SC05845500 NJ Primary

Addresses

Primary practice location

349 Route 31
Building a, Suit 302
Flemington, NJ 08822

Mailing address

349 Route 31
Building a, Suite 302
Flemington, NJ 08822-5518
Phone (908) 872-2695

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://kathleen-wrightllc.clientsecure.me Other

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SC05845500NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Authentic You Therapeutic Services Clinical CurrentSince Dec 15, 2024 Accepting new patients

Locations

111 Route 31
Ste 224
Flemington, NJ 08822
Phone (908) 237-2132

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1033433636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 ROUTE 31",
            "address_2": "BUILDING A, SUITE 302",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088225518",
            "telephone_number": "908-872-2695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 ROUTE 31",
            "address_2": "BUILDING A, SUIT 302",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "08822",
            "telephone_number": "908-872-2695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "KATHLEEN",
        "middle_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-25",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05845500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://kathleen-wrightllc.clientsecure.me",
            "affiliation": "N",
            "endpointDescription": "simple practice account",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Flemington",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Flemington",
            "address_1": "349 Route 31",
            "address_2": "Building A, Suit 302",
            "city": "Flemington",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flemington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; 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.