Individual provider Active NPI

Katharine Gullo, LCSW

  • Social Worker
  • Somerville, NJ
National Provider Identifier
1487250023
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL06617900 Issued in NJ
Practice address
150 W High St Ste a
Somerville, NJ 08876-1854
Phone
(908) 725-7799
NPI assigned
Dec 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL06617900 NJ Primary

Addresses

Primary practice location

150 W High St Ste a
Somerville, NJ 08876-1854

Mailing address

150 W High St Ste a
Somerville, NJ 08876-1854
Phone (908) 725-7799

Other practice location 1

73 Hickson Dr
New Providence, NJ 07974-2526
Phone (917) 750-0691

Other identifiers 1

IdentifierTypeStateIssuer
44SL06617900OtherNJSTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address KATEG@JEWISHFAMILYSVC.ORG Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240405002558 NJ Practitioner - Clinical Social Worker 3375981509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

150 A W High St
Somerville, NJ 08876-1854
Phone (908) 725-7799

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL06617900NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Service of Somerset Hunterdon & Warren Counties CurrentSince Feb 3, 2024 Accepting new patients

Locations

150 W High St
Ste A
Somerville, NJ 08876
Phone (908) 725-7799

Interoperability endpoints

  • Direct secure messaging: kateg@jewishfamilysvc.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1487250023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W HIGH ST STE A",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088761854",
            "telephone_number": "908-725-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W HIGH ST STE A",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088761854",
            "telephone_number": "908-725-7799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "73 Hickson Dr",
            "address_purpose": "LOCATION",
            "city": "New Providence",
            "state": "NJ",
            "postal_code": "079742526",
            "country_code": "US",
            "telephone_number": "917-750-0691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GULLO",
        "first_name": "KATHARINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-09",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06617900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "44SL06617900",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KATEG@JEWISHFAMILYSVC.ORG",
            "affiliation": "N",
            "endpointDescription": "OFFICE EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "150 W High St Ste A",
            "city": "Somerville",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088761854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Somerville, NJ

Sources for this page

Verify at the official NPI Registry.