Kathleen R Ketofsky, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC00671300 Issued in NJ

Practice address

688A Nassau St
North Brunswick, NJ 08902-2900

Phone

(732) 718-6152

NPI assigned

Jun 9, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307577600000",
    "number": "1124313945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 OAKEY DR",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241735",
            "telephone_number": "732-718-6152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "688A NASSAU ST",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089022900",
            "telephone_number": "732-718-6152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETOFSKY",
        "first_name": "KATHLEEN",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-09",
        "last_updated": "2011-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00671300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• KC Medical Services, PC
• Virginia J Keil, LCSW
• Charles Robert Kelly
• Tanya Maria Kero, LCSW
• Hal Jordan Ketofsky, MA, LPC, LCADC
• Kulsum Khan
• Anita Khanna, RPH
• Rehana Khatumbra, FNP
• Tahir Nisar Khwaja, MD
• Andrew Kim, DDS

• Clinical Social Worker in North Brunswick, NJ
• Providers in North Brunswick, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; 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.