Active NPI
Katherine Ditmire
- Clinical Social Worker
- Northfield, NJ
National Provider Identifier
1073878385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 450 Tilton Rd Ste 250
Northfield, NJ 08225-1260 - Phone
- (609) 271-7491
- NPI assigned
- Jul 12, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37CA00100200 | NJ | |
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
450 Tilton Rd Ste 250
Northfield, NJ 08225-1260
Mailing address
23 N Delsea Dr Unit B
Clayton, NJ 08312-1637
Phone (856) 423-7700
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
| License | State | Type | Specialty |
|---|---|---|---|
| 37CA00100200 | NJ | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Katherine Ditmire Therapy Works | Current | Accepting new patients |
Locations
23 N Delsea Dr
#B
Clayton, NJ 08312
Phone (856) 226-4852
450 Tilton Rd
Ste 250
Northfield, NJ 08225
Phone (609) 271-7491
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Northfield, NJ
- NPI 1871106328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723507200000",
"number": "1073878385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 N DELSEA DR UNIT B",
"city": "CLAYTON",
"state": "NJ",
"postal_code": "083121637",
"telephone_number": "856-423-7700",
"fax_number": "856-423-0823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 TILTON RD STE 250",
"city": "NORTHFIELD",
"state": "NJ",
"postal_code": "082251260",
"telephone_number": "609-271-7491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DITMIRE",
"first_name": "KATHERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-12",
"last_updated": "2024-08-13",
"certification_date": "2024-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NJ",
"license": "37CA00100200",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.