Active NPI
Katharine Gullo, LCSW
- Social Worker
- Somerville, NJ
National Provider Identifier
1487250023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SL06617900
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44SL06617900 | Other | NJ | STATE LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL06617900 | NJ | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jewish Family Service of Somerset Hunterdon & Warren Counties | Current | Accepting new patients |
Locations
150 W High St
Ste A
Somerville, NJ 08876
Phone (908) 725-7799
Interoperability endpoints
- 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.
-
- Community/Behavioral Health Agency
- Somerville, NJ
- NPI 1205991155
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.