Individual provider Active NPI

Maureen Waters, LCSW LMFT

  • Clinical Social Worker
  • Red Bank, NJ
National Provider Identifier
1134286263
Registry record updated Jan 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04582800 Issued in NJ
Practice address
145 Maple Ave
Red Bank, NJ 07701-1717
Phone
(732) 533-7845
NPI assigned
Jan 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC04582800 NJ Primary
Marriage & Family Therapist 106H00000X 37FI00046800 NJ
School Social Worker 1041S0200X NJ

Addresses

Primary practice location

145 Maple Ave
Red Bank, NJ 07701-1717

Mailing address

145 Maple Ave
Red Bank, NJ 07701-1717
Phone (732) 533-7845

Other identifiers 3

IdentifierTypeStateIssuer
246084UBSOtherNJUNITED BEHAVORIAL HEALTH
6056903MedicaidNJ
266688000OtherNJMAGELLAN NUMBER

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
I20050509000113 NJ Practitioner - Clinical Social Worker 0446290506 Reassigns benefits to 1 organization
Practice locations: Ocean, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

145 Maple Ave
Red Bank, NJ 07701-1717
Phone (732) 533-7845

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC04582800NJMDClinical Social Worker
37FI00046800NJMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Maureen V Waters LCSW LLC Clinical CurrentSince May 24, 2019 Accepting new patients

Locations

3200 Sunset Ave
Ste 211
Ocean, NJ 07712
Phone (732) 493-3774

145 Maple Ave
Red Bank, NJ 07701
Phone (732) 533-7845

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.

NPI Registry JSON

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389916800000",
    "number": "1134286263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 MAPLE AVE",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011717",
            "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": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "MAUREEN",
        "name_prefix": "Mrs.",
        "credential": "LCSW   LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-01",
        "last_updated": "2014-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04582800",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37FI00046800",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NJ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVORIAL HEALTH",
            "identifier": "246084UBS",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6056903",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN NUMBER",
            "identifier": "266688000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

Verify at the official NPI Registry.