Marilyn Gresh MSW LCSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05412900 Issued in NJ

Legal business name

MARILYN GRESH MSW LCSW LLC

Practice address

500 Main St
Lanlac Building I - Suite 4
Lanoka Harbor, NJ 08734-2228

Phone

(609) 242-4061

Fax

(609) 693-2789

NPI assigned

Sep 28, 2012

Organization subpart

No

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

Authorized official

Name

Marilyn Gresh, LCSWNPI 1942464938

Title

Owner

Phone

(609) 242-4061

Specialties & licenses 1

Addresses

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.

• Marilyn B Gresh, LCSW

  • Clinical Social Worker
  • Lanoka Harbor, NJ
  • NPI 1942464938
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1144571233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 537",
            "city": "LANOKA HARBOR",
            "state": "NJ",
            "postal_code": "087340537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MAIN ST",
            "address_2": "LANLAC BUILDING I - SUITE 4",
            "city": "LANOKA HARBOR",
            "state": "NJ",
            "postal_code": "087342228",
            "telephone_number": "609-242-4061",
            "fax_number": "609-693-2789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARILYN GRESH MSW LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-28",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "GRESH",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-242-4061",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05412900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Lassen, LAC
• Lynette Leming Houle, LSW
• Stephanie Luna, LPN
• Kelly A Mahon, RPH
• Steven Manis
• Louis Paul Massarelli, APN
• Jillian Mazur, LSW
• Lindsey McGuire, ATC
• Michele Parisi
• Shannon Morris

• Clinical Social Worker in Lanoka Harbor, NJ
• Providers in Lanoka Harbor, 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 Nov 27, 2012; 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.