Individual provider Active NPI

Angela Maio, L.C.S.W

  • Clinical Social Worker
  • Morganville, NJ
National Provider Identifier
1164507802
Registry record updated Feb 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00749300 Issued in NJ
Practice address
281 Route 79 N
Ste 109
Morganville, NJ 07751-1157
Phone
(856) 275-6145
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC00749300 NJ Primary

Addresses

Primary practice location

281 Route 79 N
Ste 109
Morganville, NJ 07751-1157

Mailing address

1 Second St
South Amboy, NJ 08879-2523
Phone (856) 275-6145

Other identifiers 1

IdentifierTypeStateIssuer
J016197OtherTRICARE

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

LicenseStateTypeSpecialty
44SC00749300NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518393600000",
    "number": "1164507802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SECOND ST",
            "city": "SOUTH AMBOY",
            "state": "NJ",
            "postal_code": "088792523",
            "telephone_number": "856-275-6145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 ROUTE 79 N",
            "address_2": "STE 109",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077511157",
            "telephone_number": "856-275-6145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIO",
        "first_name": "ANGELA",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2018-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00749300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "J016197",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; 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.