Individual provider Active NPI

Janine M Maris, LCSW

  • Clinical Social Worker
  • Sparta, NJ
National Provider Identifier
1063680205
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05214800 Issued in NJ
Practice address
200 Woodport Rd
Unit B
Sparta, NJ 07871-2628
Phone
(973) 726-3772
Fax
(973) 726-3775
NPI assigned
Feb 11, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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 44SC05214800 NJ Primary

Addresses

Primary practice location

200 Woodport Rd
Unit B
Sparta, NJ 07871-2628

Mailing address

200 Woodport Rd
Unit B
Sparta, NJ 07871-2628
Phone (973) 726-3772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090121000452 NJ Practitioner - Clinical Social Worker 4284798109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sage Psychotherapy ServicesGroup PAC ID 2769701507, 2 clinicians

Practice addresses (Care Compare)

200 Woodport Rd
Sparta, NJ 07871-2628
Phone (973) 726-3772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05214800NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Healthcare LLC Clinical 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1063680205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WOODPORT RD",
            "address_2": "UNIT B",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078712628",
            "telephone_number": "973-726-3772",
            "fax_number": "973-726-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WOODPORT RD",
            "address_2": "UNIT B",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078712628",
            "telephone_number": "973-726-3772",
            "fax_number": "973-726-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIS",
        "first_name": "JANINE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-11",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05214800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, NJ

Sources for this page

Verify at the official NPI Registry.