Maureen V Waters LCSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MAUREEN V WATERS LCSW LLC

Practice address

145 Maple Ave
Red Bank, NJ 07701-1717

Phone

(732) 533-7845

NPI assigned

Jul 8, 2019

Last updated

Jul 8, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maureen V Waters, LCSWNPI 1134286263

Title

Licensed Clinical Social Worker

Phone

(732) 533-7845

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maureen Waters, LCSW LMFT

  • Clinical Social Worker
  • Red Bank, NJ
  • NPI 1134286263
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562544000000",
    "number": "1104488345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 HARVARD ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015775",
            "telephone_number": "732-533-7845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 MAPLE AVE",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011717",
            "telephone_number": "732-533-7845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 Sunset Ave Ste 211",
            "address_purpose": "LOCATION",
            "city": "Ocean",
            "state": "NJ",
            "postal_code": "077124556",
            "country_code": "US",
            "telephone_number": "732-533-7845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAUREEN V WATERS LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-08",
        "last_updated": "2019-07-08",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "732-533-7845",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "740485",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mwaters@cctrenton.org",
            "affiliation": "N",
            "address_1": "145 Maple Ave",
            "city": "Red Bank",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077011717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Edward S Maslansky, O.D.
• Susan Masluk, M.S.W.
• Marc Joseph Massa, PT
• Denise Mastromonaco, D.O.
• Maureen K Gallagher
• Brittany Mauro, APN
• Anthony T Mayers, PT, DPT
• Thomas Mazorlig, L.AC.
• Elena Theresa Mazza, LCSW
• Grace Marie Mazzatta, APN

• Clinical Social Worker in Red Bank, NJ
• Providers in Red Bank, 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 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.