Individual provider Active NPI

Kere Loughlin-Presnal, LCSW

  • Clinical Social Worker
  • Highland Park, NJ
National Provider Identifier
1801410329
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05757200 Issued in NJ
Practice address
106 S Adelaide Ave Apt 1C
Highland Park, NJ 08904-1626
Phone
(732) 734-1357
NPI assigned
Jun 1, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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 44SC05757200 NJ Primary

Addresses

Primary practice location

106 S Adelaide Ave Apt 1C
Highland Park, NJ 08904-1626

Mailing address

106 S Adelaide Ave Apt 1C
Highland Park, NJ 08904-1626
Phone (206) 618-2191

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
44SC05757200NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
United Family and Children'S Society PastSince Jun 1, 2020 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": "1590969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1801410329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 S ADELAIDE AVE APT 1C",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089041626",
            "telephone_number": "206-618-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S ADELAIDE AVE APT 1C",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089041626",
            "telephone_number": "732-734-1357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUGHLIN-PRESNAL",
        "first_name": "KERE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-01",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05757200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.