Active NPI
Maribel Willson, M.S.CCC SLP,TSSLD,BE
- Speech-Language Pathologist
- Collingswood, NJ
National Provider Identifier
1114259850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 41YS00849400
- Practice address
- 1118 Park Ave
Collingswood, NJ 08108-3317 - Phone
- (856) 425-2238
- Fax
- (856) 210-7488
- NPI assigned
- Feb 5, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 41YS00849400 | NJ | Primary |
Addresses
Primary practice location
1118 Park Ave
Collingswood, NJ 08108-3317
Mailing address
1118 Park Av
Collingswood, NJ 08108
Phone (856) 425-2238
Other names 1
- Maribel Arriaga
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
- Credentials
- Bachelor or Engineering, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41YS00849400 | NJ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Jersey Speech Language Pathology | Past | 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.
-
- Hearing and Speech Clinic/Center
- Collingswood, NJ
- NPI 1427566082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1114259850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1118 PARK AV",
"city": "COLLINGSWOOD",
"state": "NJ",
"postal_code": "08108",
"telephone_number": "856-425-2238",
"fax_number": "856-210-7488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1118 PARK AVE",
"city": "COLLINGSWOOD",
"state": "NJ",
"postal_code": "081083317",
"telephone_number": "856-425-2238",
"fax_number": "856-210-7488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLSON",
"first_name": "MARIBEL",
"name_prefix": "Mrs.",
"credential": "M.S.CCC SLP,TSSLD,BE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-05",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "NJ",
"license": "41YS00849400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIBEL",
"last_name": "ARRIAGA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Collingswood, 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.