KATHLEEN BONNENBERG – Clinical Social Worker, NPI 1417270976

KATHLEEN BONNENBERG is a healthcare provider. based in Malaga, New Jersey. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 44SC05211900 (NJ). The NPI Number for KATHLEEN BONNENBERG is 1417270976

Main info

Female
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN BONNENBERG
NPI
1417270976
Phone
Not provided
Address
PO BOX 818
Enumeration Date
11 March 2010
Last Update Date
11 March 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3478418943
Graduation Year
1999 (27 years ago)
PAC ID
6901034743
Group Practice PAC ID
8123540630
Professional Enrollment ID
I20140129000138
Address ID
NJ07632XXXXENXXXXXXXXXX00
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

2,724 CLINICAL SOCIAL WORKER in NJ

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Provider Addresses for KATHLEEN BONNENBERG

  • PO BOX 818

    MALAGA, NJ 083280818

    Phone:

    Type: Mailing

  • 199, South Woodbury Road, Pitman, Gloucester County, New Jersey, 08071, United States

    PITMAN, NJ 080710818

    Phone: (856) 371-5750

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-01-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140129000138IClinical Social WorkerNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90832Psychotherapy, 30 minutes921130$0
90834Psychotherapy, 45 minutes24450$0
90791Psychiatric diagnostic evaluation184136$0
View full utilization report →

Insurance plans in this area (ZIP 08328)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123540630View full group profile
NameSpecialtyState
Clinical Social WorkerNJ
Clinical Social WorkerNJ

Reviews

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Frequently asked questions

Can I verify KATHLEEN BONNENBERG with an NPI only?
You can start verification with NPI 1417270976 for KATHLEEN BONNENBERG, then check state licensing separately.
Is KATHLEEN BONNENBERG listed as active for patients and plans?
The listing shows KATHLEEN BONNENBERG as active in the NPI system.
What is KATHLEEN BONNENBERG's specialty?
The listing groups KATHLEEN BONNENBERG with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where is KATHLEEN BONNENBERG based?
KATHLEEN BONNENBERG is tied to Malaga, New Jersey in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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