Individual provider Active NPI

Kristen R. Materek, LCSW

  • Clinical Social Worker
  • Morganville, NJ
National Provider Identifier
1093149239
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05671500 Issued in NJ
Practice address
281 State Route 79 N
Morganville, NJ 07751-1157
Phone
(732) 242-9235
NPI assigned
Aug 23, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 44SC05671500 NJ Primary

Addresses

Primary practice location

281 State Route 79 N
Morganville, NJ 07751-1157

Mailing address

281 State Route 79 N
Morganville, NJ 07751-1157
Phone (732) 242-9235

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerment Center Group LLC CurrentSince Dec 8, 2024 Accepting new patients
Empowerment Center Clinical CurrentSince Dec 8, 2024 Accepting new patients

Locations

281 State Route 79 N
Morganville, NJ 07751
Phone (732) 242-9235

470 State Route 79
Ste 201
Morganville, NJ 07751
Phone (732) 301-6451

Organizations & group practices 2

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": "1377216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1093149239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 STATE ROUTE 79 N",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077511157",
            "telephone_number": "732-242-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 STATE ROUTE 79 N",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077511157",
            "telephone_number": "732-242-9235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATEREK",
        "first_name": "KRISTEN",
        "middle_name": "R.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-23",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05671500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.