Active NPI
Michelle Dorantes
- Social Worker
- Lakewood, NJ
National Provider Identifier
1144827759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SL06551800
- Practice address
- 725 Airport Rd
Lakewood, NJ 08701-5968 - Phone
- (732) 367-8859
- NPI assigned
- Oct 6, 2020
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SL06551800 | NJ | Primary |
Addresses
Primary practice location
725 Airport Rd
Lakewood, NJ 08701-5968
Mailing address
725 Airport Rd
Lakewood, NJ 08701
Phone (732) 367-8859
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0029807 | Medicaid | NJ |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL06551800 | NJ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624233600000",
"number": "1144827759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 AIRPORT RD",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "08701",
"telephone_number": "732-367-8859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 AIRPORT RD",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087015968",
"telephone_number": "732-367-8859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORANTES",
"first_name": "MICHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-06",
"last_updated": "2021-06-21",
"certification_date": "2021-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL06551800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0029807",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.