Kaitlyn Danielle Personette, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05909400 Issued in NJ

Practice address

336 Cambridge Dr
Ramsey, NJ 07446-1382

Phone

(201) 421-7208

NPI assigned

Jun 6, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kaitlyn Personette LLC

  • Social Worker
  • Ramsey, NJ
  • NPI 1104530419
  NPD Authorized official

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1306338231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 CAMBRIDGE DR",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074461382",
            "telephone_number": "201-421-7208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 CAMBRIDGE DR",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074461382",
            "telephone_number": "201-421-7208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22-08 Route 208",
            "address_purpose": "LOCATION",
            "city": "Fair Lawn",
            "state": "NJ",
            "postal_code": "074102609",
            "country_code": "US",
            "telephone_number": "201-421-7208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERSONETTE",
        "first_name": "KAITLYN",
        "middle_name": "DANIELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-06",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06233900",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05909400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Kimberly Pearl, LCSW
• Ashley Pennington
• Performance Health & Integrated Spine Care, LLC
• Performance Health of New Jersey PA
• Hannah Perry
• Camille Pestano, LSW
• Julie Peters, PH.D.
• Heather Picinich
• Xenia Elizabeth Pico, MA, BCBA, NJ - LBA
• Michelle Pillepich, RD

• Clinical Social Worker in Ramsey, NJ
• Providers in Ramsey, 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 Dec 16, 2022; 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.