Individual provider Active NPI

Kattia C. Olsen, MSW, LSW

  • Social Worker
  • Hillsborough, NJ
National Provider Identifier
1093324758
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL05674400 Issued in NJ
Practice address
425 Amwell Rd
Hillsborough, NJ 08844-1213
Phone
(908) 770-7352
NPI assigned
Jul 29, 2020
Last updated
Jul 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL05674400 NJ Primary

Addresses

Primary practice location

425 Amwell Rd
Hillsborough, NJ 08844-1213

Mailing address

425 Amwell Rd
Hillsborough, NJ 08844-1213
Phone (908) 770-7352

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
I20240229001308 NJ Practitioner - Clinical Social Worker 8325483399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MKF CounselingGroup PAC ID 8820409618, 5 clinicians

Practice addresses (Care Compare)

425 Amwell Rd
Suite 101
Hillsborough, NJ 08844-1213
Phone (908) 770-7352

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL05674400NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
MKF Counseling CurrentSince Feb 14, 2024 Accepting new patients

Locations

425 Amwell Rd
Ste 101
Hillsborough, NJ 08844
Phone (908) 770-7352

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1093324758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 AMWELL RD",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088441213",
            "telephone_number": "908-770-7352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 AMWELL RD",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088441213",
            "telephone_number": "908-770-7352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "KATTIA",
        "middle_name": "C.",
        "name_prefix": "Mrs.",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05674400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NJ

Sources for this page

Verify at the official NPI Registry.