Individual provider Active NPI

Kathleen F. Murray, LCSW

  • Clinical Social Worker
  • Westwood, NJ
National Provider Identifier
1982989448
Registry record updated Nov 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05580200 Issued in NJ
Practice address
192 3Rd Ave
Suites 3 & 4
Westwood, NJ 07675-2154
Phone
(201) 666-2400
Fax
(201) 666-2472
NPI assigned
Oct 17, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL04942200 NJ
Clinical Social Worker 1041C0700X 44SC05580200 NJ Primary

Addresses

Primary practice location

192 3Rd Ave
Suites 3 & 4
Westwood, NJ 07675-2154

Mailing address

289 Godwin Ave
Floor 2
Midland Park, NJ 07432-1807
Phone (201) 838-5592

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
I20170614000074 NJ Practitioner - Clinical Social Worker 3072881168 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL04942200NJMDSocial Worker
44SC05580200NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Immediate Care Psychiatric Center Clinical CurrentSince Apr 18, 2017 Accepting new patients

Organizations & group practices 1

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": "1318809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447027200000",
    "number": "1982989448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 GODWIN AVE",
            "address_2": "FLOOR 2",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321807",
            "telephone_number": "201-838-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 3RD AVE",
            "address_2": "SUITES 3 & 4",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076752154",
            "telephone_number": "201-666-2400",
            "fax_number": "201-666-2472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "KATHLEEN",
        "middle_name": "F.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-17",
        "last_updated": "2015-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL04942200",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05580200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westwood, NJ

Sources for this page

Verify at the official NPI Registry.