NPIMap

Organization Active NPI

Janine Maris LCSW, LLC

  • Clinical Social Worker
  • Newton, NJ
National Provider Identifier
1114178977
Registry record updated Feb 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05214800 Issued in NJ
Legal business name
JANINE MARIS LCSW, LLC
Practice address
93 Main St
Suite 300
Newton, NJ 07860-2056
Phone
(973) 300-4110
Fax
(973) 579-9007
NPI assigned
Oct 9, 2008
Last updated
Feb 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2009

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

Authorized official

Name
Janine Maris, LCSW
Title
Owner
Phone
(973) 300-4110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05214800 NJ Primary

Addresses

Primary practice location

93 Main St
Suite 300
Newton, NJ 07860-2056

Mailing address

PO Box 658
Augusta, NJ 07822-0658
Phone (973) 300-4110

Other identifiers 1

IdentifierTypeStateIssuer
44SC05214800OtherNJSTATE LICENSE

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233792000000",
    "number": "1114178977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 658",
            "city": "AUGUSTA",
            "state": "NJ",
            "postal_code": "078220658",
            "telephone_number": "973-300-4110",
            "fax_number": "973-579-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 MAIN ST",
            "address_2": "SUITE 300",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078602056",
            "telephone_number": "973-300-4110",
            "fax_number": "973-579-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANINE MARIS LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-09",
        "last_updated": "2009-02-05",
        "status": "A",
        "authorized_official_last_name": "MARIS",
        "authorized_official_first_name": "JANINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-300-4110",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05214800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "44SC05214800",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; 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.