Kaylin Anne Luettchau

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SL06317200 Issued in NJ

Practice address

540 US Highway 22
Bridgewater, NJ 08807-2405

Phone

(908) 722-1881

NPI assigned

Jan 24, 2018

Last updated

May 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Kaylin Anne Desantos Former name

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

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Catholic Charities, Diocese of MetuchenGroup PAC ID 8123011046, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Catholic Charities, Diocese of Metuchen

  • Marriage & Family Therapist
  • Perth Amboy, NJ
  • NPI 1932263456

  Social Worker

  Medicare reassignment Care Compare group NPD
• Hunterdon Medical Center

  dba Hunterdon Behavioral Health Therapists

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Flemington, NJ
  • NPI 1679339501
  Medicare reassignment
• Catholic Charities Diocese of Metuchen

  • Community Health Clinic/Center
  • New Brunswick, NJ
  • NPI 1871782334
  NPD

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1871091827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3712 GRAHAM CT",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088073530",
            "telephone_number": "908-448-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 US HIGHWAY 22",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072405",
            "telephone_number": "908-722-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUETTCHAU",
        "first_name": "KAYLIN",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-24",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06317200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLIN",
            "last_name": "DESANTOS",
            "middle_name": "ANNE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Social Worker in Bridgewater, NJ
• Providers in Bridgewater, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.