Individual provider Active NPI

Kaitlynn Patricia Turre, MSW, LSW

  • Clinical Social Worker
  • East Rutherford, NJ
National Provider Identifier
1952991606
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1 Cliffwood Ter Apt 1
East Rutherford, NJ 07073-1110
Phone
(973) 897-3622
NPI assigned
Jan 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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 Primary

Addresses

Primary practice location

1 Cliffwood Ter Apt 1
East Rutherford, NJ 07073-1110

Mailing address

1 Cliffwood Ter Apt 1
East Rutherford, NJ 07073-1110
Phone (973) 897-3622

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
I20240807002753 NJ Practitioner - Clinical Social Worker 6800333816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Mind Your MindGroup PAC ID 6002242690, 22 clinicians

Practice addresses (Care Compare)

2083 Klockner Rd
Hamilton, NJ 08690-3415
Phone (609) 222-4922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nurtured Roots Counseling New Jersey CurrentSince Jan 31, 2021 Accepting new patients
Mind Your Mind CurrentSince Jul 26, 2024 Accepting new patients

Locations

2083 Klockner Rd
Trenton, NJ 08690
Phone (609) 222-4902

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": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1952991606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CLIFFWOOD TER APT 1",
            "city": "EAST RUTHERFORD",
            "state": "NJ",
            "postal_code": "070731110",
            "telephone_number": "973-897-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CLIFFWOOD TER APT 1",
            "city": "EAST RUTHERFORD",
            "state": "NJ",
            "postal_code": "070731110",
            "telephone_number": "973-897-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURRE",
        "first_name": "KAITLYNN",
        "middle_name": "PATRICIA",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Rutherford, NJ

Sources for this page

Verify at the official NPI Registry.