Individual provider Active NPI

Kristin Dunne, LCSW

  • Clinical Social Worker
  • Rockaway, NJ
National Provider Identifier
1912513508
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05447300 Issued in NJ
Practice address
19 Comanche Ave
Rockaway, NJ 07866-1115
Phone
(973) 214-0412
NPI assigned
Sep 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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 44SC05447300 NJ Primary

Addresses

Primary practice location

19 Comanche Ave
Rockaway, NJ 07866-1115

Mailing address

19 Comanche Ave
Rockaway, NJ 07866-1115
Phone (973) 214-0412

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
I20231017002209 NJ Practitioner - Clinical Social Worker 4284089848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jewish Family Service of MetrowestGroup PAC ID 7911978093, 16 clinicians

Practice addresses (Care Compare)

256 Columbia Tpke
Suite 105
Florham Park, NJ 07932-1231
Phone (973) 765-9050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05447300NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Service of Metrowest CurrentSince Jul 14, 2023 Accepting new patients
Jewish Family Service of Metrowest PastSince Aug 10, 2025 Accepting new patients

Locations

30A Vreeland Rd
Ste 301
Florham Park, NJ 07932
Phone (973) 637-1706

256 Columbia Tpke
Ste 105
Florham Park, NJ 07932
Phone (973) 765-9050

Organizations & group practices 2

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": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1912513508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 COMANCHE AVE",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078661115",
            "telephone_number": "973-214-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 COMANCHE AVE",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078661115",
            "telephone_number": "973-214-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNNE",
        "first_name": "KRISTIN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05447300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway, NJ

Sources for this page

Verify at the official NPI Registry.