Lori Kitun, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SC06447900 Issued in NJ

Practice address

301 Sicomac Ave BLDG 2
Wyckoff, NJ 07481-2159

Phone

(201) 848-5800

NPI assigned

Feb 12, 2022

Sex

Female

Sole proprietor

No

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

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Christian Health Care Center

  • Psychiatric Hospital
  • Wyckoff, NJ
  • NPI 1114916954
  Medicare reassignment NPD
• Olive Branch Therapy Group

  • Community/Behavioral Health Agency
  • East Brunswick, NJ
  • NPI 1104294446
  NPD (past)

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

{
    "created_epoch": "1644624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1396490959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SICOMAC AVE BLDG 2",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074812159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SICOMAC AVE BLDG 2",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074812159",
            "telephone_number": "201-848-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITUN",
        "first_name": "LORI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-12",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SC06447900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ketavita Wellness Clinic PC
• Melissa Kiel, MS
• Tina Ahn Kim, PHARMD
• Yoon-Hee Kim, PHARM.D.
• Janelle Diana King, LMT
• Bianca-Alexis Ilarraza Klepper
• Gabriella Kojak, FNP-BC
• Natalie Kologrivov, LAT, ATC
• Mikel Juris Krasts, MA, MSW, LMSW, LSW
• Kristens Counseling LLC

• Social Worker in Wyckoff, NJ
• Providers in Wyckoff, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.