Individual provider Active NPI

Kathleen Marie Dean, LCSW

  • Clinical Social Worker
  • Marlton, NJ
National Provider Identifier
1083751291
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05213700 Issued in NJ
Practice address
12000 Lincoln Dr W
Suite 407
Marlton, NJ 08053-3402
Phone
(856) 985-3404
Fax
(856) 985-7847
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
Yes

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 44SC05213700 NJ Primary

Addresses

Primary practice location

12000 Lincoln Dr W
Suite 407
Marlton, NJ 08053-3402

Mailing address

4601 Springwater CT
Apt. K
Owings Mills, MD 21117-4945
Phone (410) 902-1064

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050711000643 NJ Practitioner - Clinical Social Worker 4789620113 Reassigns benefits to 1 organization
Practice locations: Marlton, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10000 Lincoln Dr E
Suite 201
Marlton, NJ 08053-3105
Phone (215) 407-1580

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kathleen M Dean LCSW Clinical CurrentSince Aug 25, 2018 Accepting new patients

Locations

651 Route 73 N
Ste 407
Marlton, NJ 08053
Phone (856) 985-3404

10000 Lincoln Dr E
Ste 201
Marlton, NJ 08053
Phone (269) 830-0977

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.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083751291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 SPRINGWATER CT",
            "address_2": "APT. K",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174945",
            "telephone_number": "410-902-1064",
            "fax_number": "410-902-1064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 LINCOLN DR W",
            "address_2": "SUITE 407",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533402",
            "telephone_number": "856-985-3404",
            "fax_number": "856-985-7847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05213700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.