Kathryn a Memoli LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC00397000 Issued in NJ

Legal business name

KATHRYN A MEMOLI LCSW

Practice address

1924 Route 35
Suite 9B
Wall Township, NJ 07719-3530

Phone

(732) 986-2880

NPI assigned

Dec 10, 2013

Organization subpart

No

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

Authorized official

Name

Kathryn A Memoli, LCSWNPI 1568730687

Title

Owner

Phone

(732) 986-2880

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathryn Agnes Memoli, MSW

  • Clinical Social Worker
  • Manasquan, NJ
  • NPI 1568730687
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386633600000",
    "number": "1316378714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 ROUTE 35",
            "address_2": "SUITE 9B",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077193530",
            "telephone_number": "732-986-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 ROUTE 35",
            "address_2": "SUITE 9B",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077193530",
            "telephone_number": "732-986-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHRYN A MEMOLI LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-10",
        "last_updated": "2013-12-10",
        "status": "A",
        "authorized_official_last_name": "MEMOLI",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-986-2880",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00397000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Johansen, APN
• Joseph L. Hvidding
• Dana Kane, LCSW
• Kate Zebrowski
• Kathleen a Dowling, M.D., LLC
• Aasim S Kazmi, M.D.
• Nicole L Keating, APN
• Kathryhn Elizabeth Kebeck
• John F Keegan, DPT
• Keep Climbing Counseling, LLC

• Clinical Social Worker in Wall Township, NJ
• Providers in Wall Township, 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 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.