Organization Active NPI

Marjorie a. Mushinski, LCSW

  • Community/Behavioral Health Agency
  • Mount Holly, NJ
National Provider Identifier
1194353110
Registry record updated Mar 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MARJORIE A. MUSHINSKI, LCSW
Practice address
33 Grant St
Mount Holly, NJ 08060-1308
Phone
(609) 288-2992
NPI assigned
Mar 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2020

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

Authorized official

Name
Marjorie A. Mushinski, LCSWNPI 1982234969
Title
Owner
Phone
(609) 288-2992

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

33 Grant St
Mount Holly, NJ 08060-1308

Mailing address

1134 Smithville Rd
Mount Holly, NJ 08060-6720
Phone (609) 410-5170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200501000162 NJ Part B Supplier - Clinic/Group Practice 4981034147 Receives reassigned benefits from 1 practitioner
Practice locations: Mt Holly, NJ

National Provider Directory

National Provider Directory

Locations

33 Grant St
Mount Holly, NJ 08060
Phone (609) 232-2712

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585267200000",
    "number": "1194353110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 SMITHVILLE RD",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080606720",
            "telephone_number": "609-410-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 GRANT ST",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080601308",
            "telephone_number": "609-288-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARJORIE A. MUSHINSKI, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A",
        "authorized_official_last_name": "MUSHINSKI",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-288-2992",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Holly, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; 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.