Individual provider Active NPI

Kathleen C. Win, MSW

  • Clinical Social Worker
  • Avenel, NJ
National Provider Identifier
1295759017
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC000136 Issued in NJ
Practice address
239 Avenel St
Suite 11
Avenel, NJ 07001-1400
Phone
(908) 412-6206
Fax
(908) 412-6206
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 44SC000136 NJ Primary

Addresses

Primary practice location

239 Avenel St
Suite 11
Avenel, NJ 07001-1400

Mailing address

239 Avenel St
Suite 11
Avenel, NJ 07001-1400
Phone (908) 412-6206

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
I20050411000558 NJ Practitioner - Clinical Social Worker 5193762276 Practice locations: Scotch Plains, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1082 Lenape Way
Scotch Plains, NJ 07076-2814
Phone (908) 412-6206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC000136NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Middlesex Past Accepting new patients
County of Middlesex PastSince Dec 15, 2024 Accepting new patients

Organizations & group practices 2

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295759017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 AVENEL ST",
            "address_2": "SUITE 11",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011400",
            "telephone_number": "908-412-6206",
            "fax_number": "908-412-6206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 AVENEL ST",
            "address_2": "SUITE 11",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011400",
            "telephone_number": "908-412-6206",
            "fax_number": "908-412-6206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIN",
        "first_name": "KATHLEEN",
        "middle_name": "C.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC000136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avenel, NJ

Sources for this page

Verify at the official NPI Registry.