Kathleen Galasso LCSW

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

KATHLEEN GALASSO LCSW

Practice address

339 Canterbury LN
Wyckoff, NJ 07481-2305

Phone

(201) 954-5552

NPI assigned

Jul 15, 2021

Organization subpart

No

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

Authorized official

Name

Kathleen Galasso, LCSWNPI 1003306689

Title

Clinical Social Worker

Phone

(201) 954-5552

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathleen S Galasso

  • Clinical Social Worker
  • Wyckoff, NJ
  • NPI 1003306689
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1629640883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 CANTERBURY LN",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074812305",
            "telephone_number": "201-954-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 CANTERBURY LN",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074812305",
            "telephone_number": "201-954-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN GALASSO LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "GALASSO",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "201-954-5552",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine M Jobson, PT, MS
• John McConnell, LLC
• Tashil Kim Ju, MD
• Kaitlyn Personette LLC
• Kaminsky Chiropractic LLC
• Sukhpal Kaur
• Ketarevive, Inc
• Ketavita Wellness Clinic PC
• Melissa Kiel, MS
• Tina Ahn Kim, PHARMD

• Adult Mental Health Clinic/Center in Wyckoff, NJ
• Providers in Wyckoff, NJ by specialty
• Adult Mental Health Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.