Individual provider Active NPI

Kathleen Murray, LCSW

  • Clinical Social Worker
  • Manahawkin, NJ
National Provider Identifier
1760887558
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SC05592600 Issued in NJ
Practice address
601 Washington Ave Ste J-1011
Manahawkin, NJ 08050-2801
Phone
(609) 246-5944
NPI assigned
Oct 23, 2014
Last updated
Jul 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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 SC05592600 NJ Primary

Addresses

Primary practice location

601 Washington Ave Ste J-1011
Manahawkin, NJ 08050-2801

Mailing address

601 Washington Ave Ste J-1011
Manahawkin, NJ 08050-2801
Phone (609) 246-5944

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
I20180529002768 NJ Practitioner - Clinical Social Worker 4789949421 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1064 S Main St
West Creek, NJ 08092-2912
Phone (609) 707-3474

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC05592600NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Neuropsychology Associates CurrentSince Jun 8, 2018 Accepting new patients
Restoring Balance LLC Clinical CurrentSince Sep 24, 2019 Accepting new patients

Locations

1301 Route 72 W
Ste 250
Manahawkin, NJ 08050
Phone (609) 597-5521

601 Washington Ave
Ste J1011
Manahawkin, NJ 08050
Phone (609) 246-5944

334 Commons Way
Toms River, NJ 08755
Phone (732) 930-2242

1064 S Main St
Bldg 1E
West Creek, NJ 08092
Phone (609) 548-9029

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1760887558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 WASHINGTON AVE STE J-1011",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502801",
            "telephone_number": "609-246-5944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 WASHINGTON AVE STE J-1011",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502801",
            "telephone_number": "609-246-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-23",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "SC05592600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manahawkin, NJ

Sources for this page

Verify at the official NPI Registry.