Kathleen M Bland, LCSW
Individual provider Active NPI Clinical Social Worker · Princeton, NJ
NPI 1396573010 · NPPES record last updated Jul 24, 2024
Key facts
- NPI
- 1396573010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44SC01344800 (NJ)
- Practice address
- 145 Old Georgetown Rd
Princeton, NJ 08540-8612 - Phone
- (908) 307-5582
- NPI assigned
- Jul 24, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC01344800 | NJ | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC01344800 | NJ | Yes |
Addresses
Primary practice location
145 Old Georgetown Rd
Princeton, NJ 08540-8612
Mailing address
145 Old Georgetown Rd
Princeton, NJ 08540-8612
Phone (908) 307-5582
Other providers in Princeton, NJ
- Bio-Medical Applications of New Jersey, Inc.
- Caroline Elizabeth Black
- Janet L Black
- Hathi Blackman
- John Robert Blake
- Thomas R Blom
- Blossom Wellness, LLC
- Amanda Blum
- Carol Blum
- John Charles Bolen
All providers in Princeton, NJ · Clinical Social Worker in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.