Kaitlyn Personette LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

KAITLYN PERSONETTE LLC

Practice address

336 Cambridge Dr
Ramsey, NJ 07446-1382

Phone

(201) 421-7208

NPI assigned

Jan 11, 2023

Organization subpart

No

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

Authorized official

Name

Kaitlyn PersonetteNPI 1306338231

Title

Ceo

Phone

(201) 421-7208

Specialties & licenses 1

Addresses

Tax ID family

Kaitlyn Personette LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kaitlyn Personette LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wyckoff, NJ
  • NPI 1619898814
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kaitlyn Danielle Personette, LCSW

  • Clinical Social Worker
  • Ramsey, NJ
  • NPI 1306338231
  NPD Authorized official

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1104530419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 CAMBRIDGE DR",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074461382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 CAMBRIDGE DR",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074461382",
            "telephone_number": "201-421-7208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAITLYN PERSONETTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "PERSONETTE",
        "authorized_official_first_name": "KAITLYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "201-421-7208"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Matthew Jung
• Nicole Jurgensen
• Lucy Rose Kaczmarski, B.S.
• Nicole Kangley, MS LPC
• Karadan Anesthesiology and Pain Management, LLP
• Jillian Karpyshyn, MD
• Bridget Kaufman, M.D.
• Francis Roger Kavanagh, MVB, MRCVS

• Social Worker in Ramsey, NJ
• Providers in Ramsey, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.