Individual provider Active NPI

Kathleen McHugh Akbar, LCSW

  • Clinical Social Worker
  • Ridgewood, NJ
National Provider Identifier
1114555943
Registry record updated Mar 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05913900 Issued in NJ
Practice address
144 Circle Ave
Ridgewood, NJ 07450-4602
Phone
(847) 452-6184
NPI assigned
Mar 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 81768 CA
Clinical Social Worker 1041C0700X 44SC05913900 NJ Primary

Addresses

Primary practice location

144 Circle Ave
Ridgewood, NJ 07450-4602

Mailing address

144 Circle Ave
Ridgewood, NJ 07450-4602
Phone (847) 452-6184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 8, 2023 through Feb 8, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SC05913900NJMDClinical Social Worker
81768CAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1585353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585353600000",
    "number": "1114555943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 CIRCLE AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504602",
            "telephone_number": "847-452-6184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 CIRCLE AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504602",
            "telephone_number": "847-452-6184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCHUGH AKBAR",
        "first_name": "KATHLEEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-28",
        "last_updated": "2020-03-28",
        "certification_date": "2020-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "81768",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05913900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

Verify at the official NPI Registry.