Maria Van Sertima, LCSW, PH.D.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC00270300 Issued in NJ

Practice address

59 S Adelaide Ave
Highland Park, NJ 08904-1601

Phone

(732) 828-5443

Fax

(732) 828-5443

NPI assigned

Jan 4, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104973874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 S ADELAIDE AVE",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089041601",
            "telephone_number": "732-828-5443",
            "fax_number": "732-828-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 S ADELAIDE AVE",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089041601",
            "telephone_number": "732-828-5443",
            "fax_number": "732-828-5443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN SERTIMA",
        "first_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "LCSW, PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00270300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "105095000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "103890",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol J Turner, EDD
• Unite Pharmacy Inc
• University Pediatric Associates PA
• Urgent Care of New Jersey, LLC
• Haya Usmani
• Wilhelmina P Vargas, L.C.S.W., C.S.S.W.
• Martha Varma
• Geolenne Geovana Velasquez
• Ken A. Verni, PSY.D
• Abiola A Victor

• Clinical Social Worker in Highland Park, NJ
• Providers in Highland Park, 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, 2007; 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.