Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kathleen McNulty, LCSW, PHD

Individual provider Clinical Social Worker · NPI 1770619066

Dr. Kathleen McNulty, LCSW, PHD is a Clinical Psychologist in Midland Park, New Jersey. Qualified in 2009, 17 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
17
Licensed in
NJ
In the registry since
2007
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

24 Godwin Ave
Midland Park, NJ 07432-1927
Phone: (201) 444-4010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 35S100513600 (NJ)
Clinical Social Worker Taxonomy 1041C0700X · Licence 44SC00840400 (NJ)
Marriage & Family Therapist Taxonomy 106H00000X

Record details

NPI number1770619066
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , PHD
Sole proprietorYes
NPI enumeratedFebruary 23, 2007
Last updated in NPPESMarch 4, 2021
Certification dateMarch 4, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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