Individual provider Active NPI

Annmarie Iuni-Dodge, LCSW

  • Clinical Social Worker
  • Brielle, NJ
National Provider Identifier
1063636066
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
617 Union Ave
Building 2, Suite 13
Brielle, NJ 08730-1838
Phone
(732) 974-2827
Fax
(732) 886-2671
NPI assigned
Apr 12, 2007
Last updated
Mar 21, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

617 Union Ave
Building 2, Suite 13
Brielle, NJ 08730-1838

Mailing address

617 Union Ave
Building 2, Suite 13
Brielle, NJ 08730-1838
Phone (732) 974-2827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Jewish Community Services Inc. PastSince Apr 6, 2023 Accepting new patients
Westchester Jewish Community Services Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332288000000",
    "number": "1063636066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 UNION AVE",
            "address_2": "BUILDING 2, SUITE 13",
            "city": "BRIELLE",
            "state": "NJ",
            "postal_code": "087301838",
            "telephone_number": "732-974-2827",
            "fax_number": "732-886-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 UNION AVE",
            "address_2": "BUILDING 2, SUITE 13",
            "city": "BRIELLE",
            "state": "NJ",
            "postal_code": "087301838",
            "telephone_number": "732-974-2827",
            "fax_number": "732-886-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IUNI-DODGE",
        "first_name": "ANNMARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2012-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brielle, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.