Kathy A Pearson, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC06396000 Issued in NJ

Practice address

2038 Carmel Rd
Millville, NJ 08332-9754

Phone

(856) 825-6810

Fax

(856) 327-4281

NPI assigned

Feb 27, 2024

Last updated

Oct 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cumberland County Guidance Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Millville, NJ
  • NPI 1447337134
  Medicare reassignment NPD

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1487410361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2038 CARMEL RD",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083329754",
            "telephone_number": "856-825-6810",
            "fax_number": "856-327-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2038 CARMEL RD",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083329754",
            "telephone_number": "856-825-6810",
            "fax_number": "856-327-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "KATHY",
        "middle_name": "A",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06519200",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06396000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Paparone, APN
• Jaydip Patel, PHARM.D.
• Ketan R Patel, MD
• Patricia L. Sparks, O.D., L.L.C.
• Shawonne Patterson, LSW
• Bria Pernell
• Lauren L Peterson, PHARMD
• Emanuel Petroulakis
• Sheila Sharmaine Pierce-Williams, MSW, LCSW,CAMS II
• Lisa Pisano, MS

• Clinical Social Worker in Millville, NJ
• Providers in Millville, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.