Katherine Kehoe, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC04870000 Issued in NJ

Practice address

7 Cooper Ave Ste a
Marlton, NJ 08053-2184

Phone

(856) 905-3540

Fax

(856) 552-2808

NPI assigned

Sep 17, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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.

• Tree of Life Wellness Center, LLC

  • Clinical Social Worker
  • Marlton, NJ
  • NPI 1003211640
  NPD (past) Authorized official

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410912000000",
    "number": "1316349624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 COOPER AVE STE A",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532184",
            "telephone_number": "856-905-3540",
            "fax_number": "856-552-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 COOPER AVE STE A",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532184",
            "telephone_number": "856-905-3540",
            "fax_number": "856-552-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEHOE",
        "first_name": "KATHERINE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-17",
        "last_updated": "2014-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04870000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Kaveney
• Matthew Makoto Kay
• Jennifer Lee Kazemi, DMD
• Erin R Kazmierski-Furno, D.M.D.
• Mark R Kazmierski, D.M.D.
• Robert Keller
• Elizabeth Kelley, LCSW
• Cynthia Carr Kelly, M.A., L.P.C.
• Rebecca L Kelly, APN
• Tina Kelly, MS, OTR/L

• Clinical Social Worker in Marlton, NJ
• Providers in Marlton, 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 Sep 17, 2014; 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.