Active NPI
Katie Duffy LCSW
- Clinical Social Worker
- Belmar, NJ
National Provider Identifier
1659062453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- KATIE DUFFY LCSW
- Practice address
- 1007 13TH Ave
Belmar, NJ 07719-2806 - Phone
- (732) 513-5133
- NPI assigned
- May 15, 2023
- Last updated
- May 31, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katherine Duffy
- Title
- Owner
- Phone
- (732) 513-5133
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
1007 13TH Ave
Belmar, NJ 07719-2806
Mailing address
1007 13TH Ave
Belmar, NJ 07719-2806
Phone (732) 513-5133
Other practice location 1
235 Rte 71
Manasquan, NJ 08736-2806
Phone (732) 513-5133
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437205622 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Belmar, NJ
- NPI 1437205622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1685491200000",
"number": "1659062453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1007 13TH AVE",
"city": "BELMAR",
"state": "NJ",
"postal_code": "077192806",
"telephone_number": "732-513-5133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1007 13TH AVE",
"city": "BELMAR",
"state": "NJ",
"postal_code": "077192806",
"telephone_number": "732-513-5133"
}
],
"practiceLocations": [
{
"address_1": "235 Rte 71",
"address_purpose": "LOCATION",
"city": "Manasquan",
"state": "NJ",
"postal_code": "087362806",
"country_code": "US",
"telephone_number": "732-513-5133",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "KATIE DUFFY LCSW",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-15",
"last_updated": "2023-05-31",
"certification_date": "2023-05-31",
"status": "A",
"authorized_official_last_name": "DUFFY",
"authorized_official_first_name": "KATHERINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "732-513-5133"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1437205622",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Belmar, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.