Provider Demographics
NPI:1356489512
Name:MCGRATH, KATHLEEN J (LCSW)
Entity Type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:J
Last Name:MCGRATH
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 1:1A RAWSON COURT
Mailing Address - Street 2:KATHLEEN J MCGRATH
Mailing Address - City:HILLSDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07642-1708
Mailing Address - Country:US
Mailing Address - Phone:201-666-3797
Mailing Address - Fax:908-317-6887
Practice Address - Street 1:65 NORTH MAPLE AVE
Practice Address - Street 2:KATHLEEN J MCGRATH LCSW
Practice Address - City:RIDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07450-3233
Practice Address - Country:US
Practice Address - Phone:201-666-3797
Practice Address - Fax:908-317-6887
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC010248001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
648960Medicare ID - Type Unspecified