Provider Demographics
NPI:1982989448
Name:MURRAY, KATHLEEN F (LCSW)
Entity type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:F
Last Name:MURRAY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:289 GODWIN AVE
Mailing Address - Street 2:FLOOR 2
Mailing Address - City:MIDLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07432-1807
Mailing Address - Country:US
Mailing Address - Phone:201-838-5592
Mailing Address - Fax:
Practice Address - Street 1:192 3RD AVE
Practice Address - Street 2:SUITES 3 & 4
Practice Address - City:WESTWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07675-2154
Practice Address - Country:US
Practice Address - Phone:201-666-2400
Practice Address - Fax:201-666-2472
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-17
Last Update Date:2015-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL04942200104100000X
NJ44SC055802001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker