Individual provider Active NPI

Katherine I De Vito

  • Clinical Social Worker
  • Westfield, NJ
National Provider Identifier
1891393666
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05313800 Issued in NJ
Practice address
226 Saint Paul St Apt 2D
Westfield, NJ 07090-2100
Phone
(908) 913-7655
NPI assigned
Oct 14, 2020
Last updated
Mar 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 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 44SC05313800 NJ Primary

Addresses

Primary practice location

226 Saint Paul St Apt 2D
Westfield, NJ 07090-2100

Mailing address

226 Saint Paul St # 2D
Westfield, NJ 07090-2100
Phone (908) 913-7655

Other practice location 1

208 Lenox Ave # 211
Westfield, NJ 07090-5120
Phone (908) 913-7655

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
44SC05313800NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1891393666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 SAINT PAUL ST # 2D",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070902100",
            "telephone_number": "908-913-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 SAINT PAUL ST APT 2D",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070902100",
            "telephone_number": "908-913-7655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 Lenox Ave # 211",
            "address_purpose": "LOCATION",
            "city": "Westfield",
            "state": "NJ",
            "postal_code": "070905120",
            "country_code": "US",
            "telephone_number": "908-913-7655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE VITO",
        "first_name": "KATHERINE",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-14",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05313800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.