Individual provider Active NPI

Kathleen Marsh, LCSW, LCADC

  • Clinical Social Worker
  • Ocean, NJ
National Provider Identifier
1093117970
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05601000 Issued in NJ
Practice address
3200 Sunset Ave Ste 202
Ocean, NJ 07712-4556
Phone
(732) 962-5440
NPI assigned
Sep 22, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00195000 NJ
Clinical Social Worker 1041C0700X 44SC05601000 NJ Primary

Addresses

Primary practice location

3200 Sunset Ave Ste 202
Ocean, NJ 07712-4556

Mailing address

81 Pemberton Ave
Oceanport, NJ 07757-1134
Phone (732) 962-5440

Other practice location 1

1806 Highway 35
Suite 205G
Oakhurst, NJ 07755-2700
Phone (908) 472-0752

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
I20170613000524 NJ Practitioner - Clinical Social Worker 1456628478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2240 State Route 33
Suite 111
Neptune City, NJ 07753-6121
Phone (732) 962-5440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37LC00195000NJMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Value Life Counseling Clinical CurrentSince Mar 1, 2017 Accepting new patients

Locations

2240 State Route 33
Ste 111
Neptune City, NJ 07753
Phone (732) 962-5440

1806 State Route 35
Ste 205G
Oakhurst, NJ 07755
Phone (908) 418-0940

3200 Sunset Ave
Ste 202
Ocean, NJ 07712
Phone (732) 962-5440

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": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1093117970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 PEMBERTON AVE",
            "city": "OCEANPORT",
            "state": "NJ",
            "postal_code": "077571134",
            "telephone_number": "732-962-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 SUNSET AVE STE 202",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077124556",
            "telephone_number": "732-962-5440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1806 Highway 35",
            "address_2": "Suite 205G",
            "address_purpose": "LOCATION",
            "city": "Oakhurst",
            "state": "NJ",
            "postal_code": "077552700",
            "country_code": "US",
            "telephone_number": "908-472-0752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSH",
        "first_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-22",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00195000",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05601000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean, NJ

Sources for this page

Verify at the official NPI Registry.