Katherine Kehoe, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC06320800 Issued in NJ

Practice address

440 West St Ste 312
Fort Lee, NJ 07024-5028

Phone

(888) 242-2732

NPI assigned

Jan 11, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Bravo Medical, LLC

  • Methadone Clinic
  • Somerdale, NJ
  • NPI 1427602960
  NPD
• Avita Integrative Care, LLC

  • Clinical Psychologist
  • Teaneck, NJ
  • NPI 1821530148
  NPD (past)

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731110400000",
    "number": "1033860176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 ARLINE AVE",
            "city": "GLENDORA",
            "state": "NJ",
            "postal_code": "080291005",
            "telephone_number": "856-409-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 WEST ST STE 312",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245028",
            "telephone_number": "888-242-2732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Somerdale Square",
            "address_2": "1200 South White Horse Pike",
            "address_purpose": "LOCATION",
            "city": "Somerdale",
            "state": "NJ",
            "postal_code": "08083",
            "country_code": "US",
            "telephone_number": "855-740-1921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEHOE",
        "first_name": "KATHERINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-11",
        "last_updated": "2024-11-09",
        "certification_date": "2024-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06320800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pilgoo Kang, D.D.S
• Ohan Karatoprak, M.D.
• Michael Kasselian, DDS
• Terri Feldman Katz, M.D
• Jaspreet Kaur, PHARMD
• Kristen Mary Keller, LCSW
• Karen Gertrudis Kerr, MED.,CCC-SLP
• Hermine Kessler Axelrod, RD CDE
• Bo Ram Keum, RPH
• Gavriil Khaimov, DPM

• Clinical Social Worker in Fort Lee, NJ
• Providers in Fort Lee, 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 Nov 9, 2024; 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.