Individual provider Active NPI

Janet M Kline, LCSW

  • Clinical Social Worker
  • Woodbridge, NJ
National Provider Identifier
1851532394
Registry record updated Jan 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05367700 Issued in NJ
Practice address
705 Amboy Ave
Suite B
Woodbridge, NJ 07095-3160
Phone
(908) 217-0982
Fax
(732) 218-8601
NPI assigned
Mar 12, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 1, 2013

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 44SC05367700 NJ Primary

Addresses

Primary practice location

705 Amboy Ave
Suite B
Woodbridge, NJ 07095-3160

Mailing address

225 Beatrice PL
South Plainfield, NJ 07080-3965
Phone (908) 217-0982

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
I20101222001039 NJ Practitioner - Clinical Social Worker 1153519707 Practice locations: Woodbridge, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

300 Kimball St
Suite 106
Woodbridge, NJ 07095-2506
Phone (908) 217-0982

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa Tortorello Gilligan MSW LCSW LLC Clinical PastSince Oct 11, 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": "1236816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356998400000",
    "number": "1851532394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 BEATRICE PL",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070803965",
            "telephone_number": "908-217-0982",
            "fax_number": "732-636-7025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 AMBOY AVE",
            "address_2": "SUITE B",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070953160",
            "telephone_number": "908-217-0982",
            "fax_number": "732-218-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINE",
        "first_name": "JANET",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-12",
        "last_updated": "2013-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05367700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, NJ

Sources for this page

Verify at the official NPI Registry.