Individual provider Active NPI

Katherine Stubbs

  • Clinical Social Worker
  • Cherry Hill, NJ
National Provider Identifier
1629500905
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05706900 Issued in NJ
Practice address
1101 Kings Hwy N Ste 103
Cherry Hill, NJ 08034-1912
Phone
(856) 322-2361
NPI assigned
Mar 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05706900 NJ Primary

Addresses

Primary practice location

1101 Kings Hwy N Ste 103
Cherry Hill, NJ 08034-1912

Mailing address

1101 Kings Hwy N Ste 103
Cherry Hill, NJ 08034-1912

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
I20170522001269 NJ Practitioner - Clinical Social Worker 8820365968 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05706900NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Catalyst Collective LLC Clinical CurrentSince Mar 31, 2025 Accepting new patients
Catalyst Assessment and Therapy, LLC Clinical Past Accepting new patients

Locations

1101 Kings Hwy N
Ste 103
Cherry Hill, NJ 08034
Phone (609) 980-2640

1040 Kings Hwy N
Ste 650
Cherry Hill, NJ 08034
Phone (856) 206-8739

Organizations & group practices 2

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": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1629500905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 KINGS HWY N STE 103",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 KINGS HWY N STE 103",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341912",
            "telephone_number": "856-322-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUBBS",
        "first_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-28",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05706900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.