Katelynn Patronick, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC06280900 Issued in NJ

Practice address

490 Schooleys Mountain Rd Ste 12
Hackettstown, NJ 07840-4002

Phone

(973) 691-3030

NPI assigned

Oct 31, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Human First Counseling Services

  • Professional Counselor
  • Andover, NJ
  • NPI 1497479810

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1902679129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 CAMERON DR",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078401662",
            "telephone_number": "732-343-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 SCHOOLEYS MOUNTAIN RD STE 12",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078404002",
            "telephone_number": "973-691-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRONICK",
        "first_name": "KATELYNN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06280900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pranali Patel, DDS,MSD
• Pranav S Patel, PHARMD
• Radhika Patel, NP
• Rita Patel
• Pathology Associates of Northwest Jersey, LLC
• Benjamin Paulussen, DMD
• David Paulussen, D.M.D.
• Peace and Growth Therapy, LLC
• Faith Pedersen, BSN, RN, IBCLC
• Pediatric & Adolescent Medical Center

• Clinical Social Worker in Hackettstown, NJ
• Providers in Hackettstown, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.