Individual provider Active NPI

Katelyn Marie O'Hara, LCSW

  • Clinical Social Worker
  • Marlton, NJ
National Provider Identifier
1467965269
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06033700 Issued in NJ
Practice address
536 Lippincott Dr
Marlton, NJ 08053-4805
Phone
(856) 355-7155
Fax
(856) 325-4798
NPI assigned
Nov 15, 2017
Last updated
May 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC06033700 NJ Primary
Clinical Social Worker 1041C0700X CW019184 PA

Addresses

Primary practice location

536 Lippincott Dr
Marlton, NJ 08053-4805

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-7155

Other practice location 1

1605 E Evesham Rd Ste 200A
Voorhees, NJ 08043-1437
Phone (856) 355-7118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210715000189 PA Practitioner - Clinical Social Worker 1355743246 Reassigns benefits to 1 organization
I20241004000912 NJ Practitioner - Clinical Social Worker 1355743246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

2309 E Evesham Rd
Voorhees, NJ 08043-1559

3242 Route 206
Bordentown, NJ 08505-4517

534 Lippincott Dr
Marlton, NJ 08053-4805
Phone (856) 355-7120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC06033700NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Abington Memorial Hospital CurrentSince Apr 10, 2021 Accepting new patients
Abington Memorial Hospital CurrentSince Apr 10, 2021 Accepting new patients
Virtua Medical Group, PA Current Accepting new patients
Virtua Medical Group, PA CurrentSince Oct 28, 2024 Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

303 Lippincott Dr
Ste 200
Marlton, NJ 08053
Phone (856) 355-0335

536 Lippincott Dr
Marlton, NJ 08053
Phone (856) 355-7155

1605 E Evesham Rd
Ste 200A
Voorhees, NJ 08043

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

500 York Rd
Ste 203
Jenkintown, PA 19046
Phone (215) 886-0174

100 Medical Campus Dr
Lansdale, PA 19446
Phone (215) 361-4440

2500 Maryland Rd
Ste 400
Willow Grove, PA 19090
Phone (215) 481-3915

Organizations & group practices 4

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": "1510704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1467965269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-355-7155",
            "fax_number": "856-325-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 LIPPINCOTT DR",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534805",
            "telephone_number": "856-355-7155",
            "fax_number": "856-325-4798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1605 E Evesham Rd Ste 200A",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080431437",
            "country_code": "US",
            "telephone_number": "856-355-7118",
            "fax_number": "856-325-5222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'HARA",
        "first_name": "KATELYN",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-15",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06033700",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019184",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.