Individual provider Active NPI

Kathryn Engle-Wu, LCSW

  • Clinical Social Worker
  • Hackettstown, NJ
National Provider Identifier
1649748872
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05339700 Issued in NJ
Practice address
12 Yorkshire Dr
Hackettstown, NJ 07840-5604
Phone
(908) 619-0954
NPI assigned
Nov 6, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2018

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 44SC05339700 NJ Primary

Addresses

Primary practice location

12 Yorkshire Dr
Hackettstown, NJ 07840-5604

Mailing address

12 Yorkshire Dr
Hackettstown, NJ 07840-5604
Phone (908) 619-0954

Other names 1

  • Kathryn Engle Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1649748872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 YORKSHIRE DR",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078405604",
            "telephone_number": "908-619-0954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 YORKSHIRE DR",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078405604",
            "telephone_number": "908-619-0954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGLE-WU",
        "first_name": "KATHRYN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-06",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05339700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "ENGLE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hackettstown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.