Active NPI
Kathryn Dyan McMullin, LSW
- Social Worker
- West Deptford, NJ
National Provider Identifier
1396175550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SL05673500
- Practice address
- 104 W Red Bank Ave
West Deptford, NJ 08096-3407 - Phone
- (856) 251-9059
- Fax
- (856) 251-9324
- NPI assigned
- Nov 25, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SL05673500 | NJ | Primary |
Addresses
Primary practice location
104 W Red Bank Ave
West Deptford, NJ 08096-3407
Mailing address
104 W Red Bank Ave
West Deptford, NJ 08096-3407
Phone (856) 251-9059
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL05673500 | NJ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385337600000",
"number": "1396175550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 W RED BANK AVE",
"city": "WEST DEPTFORD",
"state": "NJ",
"postal_code": "080963407",
"telephone_number": "856-251-9059",
"fax_number": "856-251-9324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 W RED BANK AVE",
"city": "WEST DEPTFORD",
"state": "NJ",
"postal_code": "080963407",
"telephone_number": "856-251-9059",
"fax_number": "856-251-9324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMULLIN",
"first_name": "KATHRYN",
"middle_name": "DYAN",
"name_prefix": "Mrs.",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-25",
"last_updated": "2013-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL05673500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Deptford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.