Individual provider Active NPI

Kathryn Hostettler, MSW

  • Clinical Social Worker
  • Winnetka, CA
National Provider Identifier
1790114213
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SL05737100 Issued in NJ
Practice address
7113 Oakdale Ave
Winnetka, CA 91306-3627
Phone
(609) 356-8643
NPI assigned
Nov 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 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 44SL05737100 NJ Primary

Addresses

Primary practice location

7113 Oakdale Ave
Winnetka, CA 91306-3627

Mailing address

7113 Oakdale Ave
Winnetka, CA 91306-3627
Phone (609) 356-8643

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
44SL05737100NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kathryn Hostettler Licensed Clinical Social Worker Wellness, Inc. Clinical CurrentSince Jan 26, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1790114213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7113 OAKDALE AVE",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913063627",
            "telephone_number": "609-356-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7113 OAKDALE AVE",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913063627",
            "telephone_number": "609-356-8643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSTETTLER",
        "first_name": "KATHRYN",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-05",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL05737100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnetka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.