NPIMap

Organization Active NPI

Kitchen Table Therapy, LLC

  • Social Worker
  • East Orange, NJ
National Provider Identifier
1275840332
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SC00586800 Issued in NJ
Legal business name
KITCHEN TABLE THERAPY, LLC
Practice address
31 Newfield Street
East Orange, NJ 07017-5410
Phone
(201) 725-1807
NPI assigned
Sep 9, 2010
Last updated
Sep 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2010

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

Authorized official

Name
Charlene W Mason-ReeseNPI 1144371899
Title
Healthcare Provider
Phone
(201) 725-1807

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X 44SC00586800 NJ Primary

Addresses

Primary practice location

31 Newfield Street
East Orange, NJ 07017-5410

Mailing address

31 Newfield Street
East Orange, NJ 07017-5410

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283990400000",
    "number": "1275840332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 NEWFIELD STREET",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070175410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 NEWFIELD STREET",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070175410",
            "telephone_number": "201-725-1807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KITCHEN TABLE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-09",
        "last_updated": "2010-09-09",
        "status": "A",
        "authorized_official_last_name": "MASON-REESE",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "HEALTHCARE PROVIDER",
        "authorized_official_telephone_number": "201-725-1807"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SC00586800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; 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.