Individual provider Active NPI

Kaley Gerstley, LCSW

  • Social Worker
  • Hoboken, NJ
National Provider Identifier
1992224067
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
091778-1 Issued in NY
Practice address
50 Harrison St Ste 214C
Hoboken, NJ 07030-6087
Phone
(201) 514-6379
NPI assigned
Sep 11, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05816500 NJ
Social Worker 104100000X 091778-1 NY Primary

Addresses

Primary practice location

50 Harrison St Ste 214C
Hoboken, NJ 07030-6087

Mailing address

50 Harrison St Ste 214C
Hoboken, NJ 07030-6087
Phone (201) 514-6379

Other practice location 1

40 Montgomery St
New York, NY 10002-4808
Phone (212) 233-5032

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
091778-1NYMDSocial Worker
44SC05816500NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1992224067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 HARRISON ST STE 214C",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070306087",
            "telephone_number": "201-514-6379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 HARRISON ST STE 214C",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070306087",
            "telephone_number": "201-514-6379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Montgomery St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100024808",
            "country_code": "US",
            "telephone_number": "212-233-5032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERSTLEY",
        "first_name": "KALEY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-11",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05816500",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "091778-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; 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.