Katie Struble, LCSW

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

44SC05656400 Issued in NJ

Practice address

36 Wantage Avenue
Branchville, NJ 07826

Phone

(973) 534-6880

NPI assigned

Dec 10, 2020

Last updated

Dec 10, 2020By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Katie Struble LCSW LLC

  • Mental Health Counselor
  • Branchville, NJ
  • NPI 1003575028
  NPD Authorized official

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1326644691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 504",
            "city": "AUGUSTA",
            "state": "NJ",
            "postal_code": "078220504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 WANTAGE AVENUE",
            "city": "BRANCHVILLE",
            "state": "NJ",
            "postal_code": "07826",
            "telephone_number": "973-534-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRUBLE",
        "first_name": "KATIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-10",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "44SC05656400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scarc, Inc.
• Jean Louise Schmidt, RN,BSN,IBCLC
• Harsh Shah, D.M.D.
• Arnold Allen Soldavin, RPH
• Kim Rahuba Stetzel, D.C.
• The Suite Tooth, LLC
• Mark Anthony Thogode, D.M.D.
• Turtley Speech LLC
• Willowglen Academy-New Jersey, Inc.

• Community/Behavioral Health Agency in Branchville, NJ
• Providers in Branchville, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; 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.