Elizabeth Mac Ewen LCSW LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

44SC05589400 Issued in NJ

Legal business name

ELIZABETH MAC EWEN LCSW LLC

Practice address

13 James St FL 1
Morristown, NJ 07960-5941

Phone

(973) 903-1183

NPI assigned

Aug 30, 2017

Last updated

Aug 30, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Elizabeth Maryel Mac Ewen, LCSW

Title

Licensed Clinical Social Worker

Phone

(973) 903-1183

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504051200000",
    "number": "1154849180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SUNSET DR",
            "city": "BERNARDSVILLE",
            "state": "NJ",
            "postal_code": "079242714",
            "telephone_number": "973-903-1183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 JAMES ST FL 1",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079605941",
            "telephone_number": "973-903-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH MAC EWEN LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-30",
        "last_updated": "2017-08-30",
        "status": "A",
        "authorized_official_last_name": "MAC EWEN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "MARYEL",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "973-903-1183",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "44SC05589400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1",
            "identifier": "1053724823",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Morristown, NJ
• Providers in Morristown, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2017; 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.