Kathryn Deane-Greeley, LCSW

Individual provider Active NPI Clinical Social Worker · Point Pleasant Boro, NJ

NPI 1477028652 · NPPES record last updated Oct 3, 2018

Key facts

NPI
1477028652
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
44SC05771400 (NJ)
Practice address
2217 Kenneth Rd
Point Pleasant Boro, NJ 08742-4435
Phone
(732) 503-3102
Fax
(732) 624-6080
NPI assigned
Oct 3, 2018
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1468 Davidson Ave
Brick, NJ 08724-4218
Phone (732) 606-2035

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 IDStateProvider typePAC IDDetails
I20181218002814 NJ Practitioner - Clinical Social Worker 0840535969 Practice locations: Brick, NJ

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
44SC05771400NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Direct Solutions Counseling LLC Clinical Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193400000X SINGLE SPECIALTY GROUP
1041C0700X 44SC05771400 NJ Yes

Addresses

Primary practice location

2217 Kenneth Rd
Point Pleasant Boro, NJ 08742-4435

Mailing address

PO Box 917
Matawan, NJ 07747-0917
Phone (732) 500-6405

Other providers in Point Pleasant Boro, NJ

All providers in Point Pleasant Boro, NJ · Clinical Social Worker in New Jersey

Sources for this page

Verify at the official NPI Registry.