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KATHRYN A MEMOLI LCSW
NPI 1316378714
Social Worker - Clinical in Wall Township, NJ

Active since December 10, 2013
1924 ROUTE 35, SUITE 9B, WALL TOWNSHIP, NJ 07719(732) 986-2880 Get Directions Write a Review

NPPES record last updated: December 10, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kathryn A Memoli Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHRYN A MEMOLI LCSW (NPI 1316378714) is a healthcare organization registered as a clinical in Wall Township, New Jersey and active in the NPI registry since December 2013. The organization lists Kathryn A Memoli, Owner, as its authorized official.

NPPES Registry Identity

NPI1316378714
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameKATHRYN A MEMOLI LCSW
Location Address1924 ROUTE 35, SUITE 9BWall Township, NJ 07719-3530
Mailing Address1924 Route 35, Suite 9bWall Township, NJ 07719-3530 · (732) 986-2880
Phone(732) 986-2880
Organization SubpartNo
Authorized OfficialKathryn A MemoliOwner · (732) 986-2880
Enumeration DateDecember 10, 2013
✔ NPI 1316378714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NJ · 44SC00397000
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1924 ROUTE 35, Wall Township, NJ 07719
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathryn A Memoli Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew JerseyEnrollment IDO20140424002133Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kathryn A Memoli Lcsw, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kathryn Memoli, MSW
Clinical Social Worker
NPI 1568730687
200 ATLANTIC AVE SUITE K
Manasquan, NJ 08736
(732) 292-0388
✔ PECOS✔ Accepts Medicare1.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathryn A Memoli Lcsw's NPI number?

The NPI number for Kathryn A Memoli Lcsw is 1316378714. It was assigned to this organization in the NPPES registry on December 10, 2013.

Where is Kathryn A Memoli Lcsw located?

Kathryn A Memoli Lcsw is located at 1924 Route 35 Suite 9B, Wall Township, NJ 07719. The listed phone number is (732) 986-2880.

What is Kathryn A Memoli Lcsw's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kathryn A Memoli Lcsw enrolled in Medicare?

Yes. Kathryn A Memoli Lcsw is registered in the Medicare PECOS enrollment system.

When is Kathryn A Memoli Lcsw's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Kathryn A Memoli Lcsw?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Kathryn A Memoli Lcsw. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kathryn A Memoli Lcsw was last updated on December 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.