KATHLEEN BAKOS
NPI 1649741042
Social Worker in Montclair, NJ

Q: What is Kathleen Bakos's NPI number?

The NPI number for Kathleen Bakos is 1649741042. It was assigned to this individual provider in the NPPES registry on December 10, 2018.

Q: What is Kathleen Bakos's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Kathleen Bakos was last updated on December 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since December 10, 2018PECOS Enrolled

80 PARK ST, MONTCLAIR, NJ 07042(973) 746-0333 Get Directions Write a Review

NPPES record last updated: December 10, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kathleen Bakos NPPES

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

KATHLEEN BAKOS (NPI 1649741042) is an individual social worker in Montclair, New Jersey and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1649741042

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameKATHLEEN BAKOS

Location Address80 PARK STMontclair, NJ 07042-2904

Mailing Address47 Brook DrWatchung, NJ 07069-6401

Phone(973) 746-0333

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateDecember 10, 2018

✔ NPI 1649741042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

80 PARK ST, Montclair, NJ 07042

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen Bakos is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911425095

PECOS Enrollment IDI20250513003360

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS ERICA LEIGH LE FURGE LPC

Counselor (Mental Health)