Individual provider Active NPI

Lynn Mazur, LCSW

  • Social Worker
  • Toms River, NJ
National Provider Identifier
1073643177
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL05356600 Issued in NJ
Practice address
1108 Hooper Ave Ste 2
Toms River, NJ 08753-8344
Phone
(732) 604-8107
NPI assigned
Mar 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05352000 NJ
Social Worker 104100000X 44SL05356600 NJ Primary
Clinical Social Worker 1041C0700X 44SC05352000

Addresses

Primary practice location

1108 Hooper Ave Ste 2
Toms River, NJ 08753-8344

Mailing address

1108 Hooper Ave Ste 2
Toms River, NJ 08753-8344
Phone (732) 604-8107

Other practice location 1

160 Atlantic City Blvd
Bayville, NJ 08721-1229
Phone (732) 349-1977 ext. 161

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL05356600NJMDSocial Worker
44SC05352000NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
A Broader View Clinical PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

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": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1073643177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 HOOPER AVE STE 2",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087538344",
            "telephone_number": "732-604-8107",
            "fax_number": "732-349-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 HOOPER AVE STE 2",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087538344",
            "telephone_number": "732-604-8107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 Atlantic City Blvd",
            "address_purpose": "LOCATION",
            "city": "Bayville",
            "state": "NJ",
            "postal_code": "087211229",
            "country_code": "US",
            "telephone_number": "732-349-1977 x161",
            "fax_number": "732-349-0841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAZUR",
        "first_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05352000",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05356600",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "44SC05352000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.