Individual provider Active NPI

Kathi Elayne Rabinowitz-Hirsch, LCSW, MSW

  • Clinical Social Worker
  • Pompton Plains, NJ
National Provider Identifier
1437619467
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05848900 Issued in NJ
Practice address
1 Cedar Crest Village Dr
Pompton Plains, NJ 07444-2100
Phone
(973) 831-3540
Fax
(973) 831-3503
NPI assigned
Mar 25, 2019
Last updated
Nov 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05848900 NJ Primary

Addresses

Primary practice location

1 Cedar Crest Village Dr
Pompton Plains, NJ 07444-2100

Mailing address

5730 Executive Dr Ste 230
Catonsville, MD 21228-1762
Phone (973) 831-3540

Other practice location 1

37 Kings Rd
Madison, NJ 07940-2500
Phone (973) 377-7705

Other practice location 2

333 Elmwood Ave
Maplewood, NJ 07040-2491
Phone (973) 377-7705

Other names 1

  • Kathi E Hirsch Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190423002423 NJ Practitioner - Clinical Social Worker 5698017622 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05848900NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Laura Palmer PHD LLC CurrentSince Mar 11, 2019 Accepting new patients

Locations

37 Kings Rd
Ste 102
Madison, NJ 07940
Phone (973) 377-7705

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1437619467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 EXECUTIVE DR STE 230",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212281762",
            "telephone_number": "973-831-3540",
            "fax_number": "973-831-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CEDAR CREST VILLAGE DR",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074442100",
            "telephone_number": "973-831-3540",
            "fax_number": "973-831-3503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37 Kings Rd",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "NJ",
            "postal_code": "079402500",
            "country_code": "US",
            "telephone_number": "973-377-7705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 Elmwood Ave",
            "address_purpose": "LOCATION",
            "city": "Maplewood",
            "state": "NJ",
            "postal_code": "070402491",
            "country_code": "US",
            "telephone_number": "973-377-7705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RABINOWITZ-HIRSCH",
        "first_name": "KATHI",
        "middle_name": "ELAYNE",
        "credential": "LCSW, MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05848900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHI",
            "last_name": "HIRSCH",
            "middle_name": "E",
            "credential": "LCSW, MSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pompton Plains, NJ

Sources for this page

Verify at the official NPI Registry.