Individual provider Active NPI

Katheryne Breuker, MSS, LCSW

  • Clinical Social Worker
  • Haddonfield, NJ
National Provider Identifier
1699485102
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW026200 Issued in PA
Practice address
260 Village CT
Haddonfield, NJ 08033-1046
Phone
(616) 406-8454
NPI assigned
Nov 25, 2022
Sex
Female
Sole proprietor
Yes

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SC06534800NJMDClinical Social Worker
CW026200PAMDClinical Social Worker

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW026200 PA Primary
Clinical Social Worker 1041C0700X 44SC06534800 NJ

Addresses

NPPES NPI Registry

Primary practice location

260 Village CT
Haddonfield, NJ 08033-1046

Mailing address

260 Village CT
Haddonfield, NJ 08033-1046
Phone (616) 406-8454

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 22, 2026.

{
    "created_epoch": "1669334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1699485102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 VILLAGE CT",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080331046",
            "telephone_number": "616-406-8454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 VILLAGE CT",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080331046",
            "telephone_number": "616-406-8454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREUKER",
        "first_name": "KATHERYNE",
        "name_prefix": "Ms.",
        "credential": "MSS, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-25",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW026200",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06534800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddonfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; 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.