Thomas J Mackarevich, PH.D., LCSW, LCADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC04807300 Issued in NJ

Practice address

15 Grand Ave
Toms River, NJ 08753-7503

Phone

(732) 240-9352

Fax

(732) 240-9352

NPI assigned

Jul 25, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185321600000",
    "number": "1043400252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 GRAND AVE",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537503",
            "telephone_number": "732-240-9352",
            "fax_number": "732-240-9352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 GRAND AVE",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537503",
            "telephone_number": "732-240-9352",
            "fax_number": "732-240-9352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKAREVICH",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PH.D., LCSW, LCADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00102900",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04807300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthur Macarios
• Frank Edward Machiaverna, MD
• Lisa Marie Macinnes, MS, CCC-SLP
• Christopher J Macintosh, DPT
• Diana Macintosh, LPC
• Edward Vincent Macnish Jr., L.P.C.
• Tammy Madama, PHARM D
• Vicki L Madonick
• Stephanie Madubuike, MD
• Rana J Mady, M.D.

• Clinical Social Worker in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.