Katherine Matthews
Individual provider Active NPI Clinical Social Worker · Andover, NJ
NPI 1457046930 · NPPES record last updated Apr 1, 2025
Key facts
- NPI
- 1457046930
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44SC06302300 (NJ)
- Practice address
- 39 Kennedy Road
Suite 39a
Andover, NJ 07821 - Phone
- (973) 691-3030
- NPI assigned
- Apr 10, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250521001438 | NJ | Practitioner - Clinical Social Worker | 9739608951 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL06699200 | NJ | MD | Social Worker |
| 44SC06302300 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Human First Counseling Services | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SL06699200 | NJ | |
| Clinical Social Worker | 1041C0700X | 44SC06302300 | NJ | Yes |
Addresses
Primary practice location
39 Kennedy Road
Suite 39a
Andover, NJ 07821
Mailing address
39 Kennedy Road
Suite 39a
Andover, NJ 07821
NPI Registry JSON
{
"created_epoch": "1681084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743465600000",
"number": "1457046930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 KENNEDY ROAD",
"address_2": "SUITE 39A",
"city": "ANDOVER",
"state": "NJ",
"postal_code": "07821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 KENNEDY ROAD",
"address_2": "SUITE 39A",
"city": "ANDOVER",
"state": "NJ",
"postal_code": "07821",
"telephone_number": "973-691-3030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHEWS",
"first_name": "KATHERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-10",
"last_updated": "2025-04-01",
"certification_date": "2025-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL06699200",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC06302300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Andover, NJ
- Bradford Jones
- Christina Birgitta Jonsson
- George Joseph Kata
- Kimberly Klimek
- Katherine Kostuk
- McGovern Behavioral Healthcare
- Andrew Augustus McGovern
- Susan McNally
- Daniel James Mitchell
- Melvyn Alfred Moskowitz
All providers in Andover, 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 Apr 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.