Individual provider Active NPI

Catherine Glass, LCSW

  • Clinical Social Worker
  • East Brunswick, NJ
National Provider Identifier
1861890592
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SL05750300 Issued in NJ
Practice address
288 Rues LN
East Brunswick, NJ 08816-5699
Phone
(732) 257-6100
NPI assigned
Dec 11, 2014
Last updated
Dec 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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 44SL05750300 NJ Primary

Addresses

Primary practice location

288 Rues LN
East Brunswick, NJ 08816-5699

Mailing address

288 Rues LN
East Brunswick, NJ 08816-5699
Phone (732) 257-6100

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
I20240708001444 NJ Practitioner - Clinical Social Worker 0446794028 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL05750300NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Elderology, LLC Clinical CurrentSince Jun 19, 2024 Accepting new patients

Locations

61 Pearl St
Metuchen, NJ 08840
Phone (908) 514-8590

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, 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": "1418256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1861890592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 RUES LN",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165699",
            "telephone_number": "732-257-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 RUES LN",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165699",
            "telephone_number": "732-257-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "CATHERINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-11",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL05750300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.