Individual provider Active NPI

Kathleen E Manalio, LCSW

  • Clinical Social Worker
  • Brick, NJ
National Provider Identifier
1235470170
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05701600 Issued in NJ
Practice address
1683 Route 88 W
Brick, NJ 08724-3072
Phone
(732) 840-5266
NPI assigned
Mar 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05701600 NJ Primary

Addresses

Primary practice location

1683 Route 88 W
Brick, NJ 08724-3072

Mailing address

1683 Route 88 W
Brick, NJ 08724-3072
Phone (732) 840-5266

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
I20170531000334 NJ Practitioner - Clinical Social Worker 9931476694 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neuropsychology and Counseling Associates, LLCGroup PAC ID 4880689298, 15 clinicians

Practice addresses (Care Compare)

1683 Route 88
Suite a
Brick, NJ 08724-3072
Phone (732) 840-5266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05701600NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities Diocese of Metuchen CurrentSince Apr 1, 2017 Accepting new patients
Neuropsychology & Counseling Associates, LLC CurrentSince Jun 1, 2017 Accepting new patients
Catholic Charities, Diocese of Metuchen CurrentSince Apr 1, 2017 Accepting new patients

Locations

1683 Route 88 W
Ste A
Brick, NJ 08724
Phone (732) 840-5266

288 Rues Ln
East Brunswick, NJ 08816
Phone (732) 257-6100

4 Paragon Way
Ste 350
Freehold, NJ 07728
Phone (212) 262-0741

319 Maple St
Perth Amboy, NJ 08861
Phone (732) 324-8200

3820 River Rd
Point Pleasant Boro, NJ 08742
Phone (732) 840-5266

Organizations & group practices 4

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": "1362096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1235470170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1683 ROUTE 88 W",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243072",
            "telephone_number": "732-840-5266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1683 ROUTE 88 W",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243072",
            "telephone_number": "732-840-5266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANALIO",
        "first_name": "KATHLEEN",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05701600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.