Individual provider Active NPI

Marlo O Washington L, LCSW

  • Clinical Social Worker
  • Woodbury, NJ
National Provider Identifier
1093533515
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06259900 Issued in NJ
Practice address
75 W Red Bank Ave
Woodbury, NJ 08096-1694
Phone
(856) 451-4700
Fax
(856) 575-0818
NPI assigned
Oct 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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 44SC06259900 NJ Primary

Addresses

Primary practice location

75 W Red Bank Ave
Woodbury, NJ 08096-1694

Mailing address

14 N Pearl St
Bridgeton, NJ 08302-1902
Phone (856) 451-4700

Other practice location 1

14 N Pearl St
Bridgeton, NJ 08302-1902
Phone (856) 451-4700 ext. 2094

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
I20250117002126 NJ Practitioner - Clinical Social Worker 5193254217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Care, Inc.Group PAC ID 9335040419, 126 clinicians

Practice addresses (Care Compare)

75 W Red Bank Ave
Woodbury, NJ 08096-1694
Phone (856) 451-4700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC06259900NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care, Inc. CurrentSince Oct 14, 2024 Accepting new patients
Community Health Care, Inc. CurrentSince Oct 14, 2024 Accepting new patients

Locations

14 N Pearl St
Bridgeton, NJ 08302
Phone (856) 340-9830

30 N Pearl St
Bridgeton, NJ 08302

335 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 863-5720

715 Delsea Dr N
Ste 4
Glassboro, NJ 08028

715 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 863-5720

530 High St N
Millville, NJ 08332
Phone (856) 506-8556

785 W Sherman Ave
Vineland, NJ 08360

3700 New Jersey Ave
Wildwood, NJ 08260
Phone (609) 465-0258

711 Marsha Ave
Williamstown, NJ 08094

75 W Red Bank Ave
Woodbury, NJ 08096
Phone (856) 853-2055

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": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1093533515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 N PEARL ST",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083021902",
            "telephone_number": "856-451-4700",
            "fax_number": "856-575-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 W RED BANK AVE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961694",
            "telephone_number": "856-451-4700",
            "fax_number": "856-575-0818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 N Pearl St",
            "address_purpose": "LOCATION",
            "city": "Bridgeton",
            "state": "NJ",
            "postal_code": "083021902",
            "country_code": "US",
            "telephone_number": "856-451-4700 x2094",
            "fax_number": "856-575-0818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASHINGTON L",
        "first_name": "MARLO",
        "middle_name": "O",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06259900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NJ

Sources for this page

Verify at the official NPI Registry.