Individual provider Active NPI

Catherine Radeschi, MSW LCSW

  • Clinical Social Worker
  • Oakhurst, NJ
National Provider Identifier
1285771501
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00571700 Issued in NJ
Practice address
721 Auth Ave Ste 15
Oakhurst, NJ 07755-2965
Phone
(908) 675-6440
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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 44SC00571700 NJ Primary

Addresses

Primary practice location

721 Auth Ave Ste 15
Oakhurst, NJ 07755-2965

Mailing address

14 Lone Oak Way
Eatontown, NJ 07724-2468
Phone (908) 675-6440

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
I20050505000018 NJ Practitioner - Clinical Social Worker 1759321144 Practice locations: Oakhurst, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

721 Auth Ave
Oakhurst, NJ 07755-2965
Phone (908) 675-6440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC00571700NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mediation and Therapy Associates LLC Clinical Past Accepting new patients

Organizations & group practices 1

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1285771501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 LONE OAK WAY",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242468",
            "telephone_number": "908-675-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 AUTH AVE STE 15",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "077552965",
            "telephone_number": "908-675-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADESCHI",
        "first_name": "CATHERINE",
        "name_prefix": "Mrs.",
        "credential": "MSW LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00571700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakhurst, NJ

Sources for this page

Verify at the official NPI Registry.