Individual provider Active NPI

Dorys Murillo, LCSW, LCADC

  • Clinical Social Worker
  • Paramus, NJ
National Provider Identifier
1205219011
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05922500 Issued in NJ
Practice address
6 Forest Ave Ste 1
Paramus, NJ 07652-5245
Phone
(201) 880-7530
Fax
(201) 880-7529
NPI assigned
Jun 30, 2015
Last updated
Feb 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00220800 NJ
Clinical Social Worker 1041C0700X 44SC05922500 NJ Primary

Addresses

Primary practice location

6 Forest Ave Ste 1
Paramus, NJ 07652-5245

Mailing address

6 Forest Ave Ste 1
Paramus, NJ 07652-5245
Phone (201) 880-7530

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL cmd-2013@outlook.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240220004371 NJ Practitioner - Clinical Social Worker 0143664953 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forest Recovery and Psychiatric Group IncGroup PAC ID 6507229077, 3 clinicians

Practice addresses (Care Compare)

6 Forest Ave
Suite 110
Paramus, NJ 07652-5245
Phone (201) 880-7530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Forest Recovery and Psychiatric Group Inc CurrentSince Jul 1, 2025 Accepting new patients
Forest Recovery and Psychiatric Group CurrentSince Feb 18, 2024 Accepting new patients

Locations

6 Forest Ave
Paramus, NJ 07652
Phone (201) 587-7850

6 Forest Ave
Ste 1
Paramus, NJ 07652
Phone (201) 880-7530

6 Forest Ave
Ste 110
Paramus, NJ 07652
Phone (201) 880-7530

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1205219011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 FOREST AVE STE 1",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076525245",
            "telephone_number": "201-880-7530",
            "fax_number": "201-880-7529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 FOREST AVE STE 1",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076525245",
            "telephone_number": "201-880-7530",
            "fax_number": "201-880-7529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURILLO",
        "first_name": "DORYS",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-30",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00220800",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05922500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "cmd-2013@outlook.com",
            "affiliation": "N",
            "endpointDescription": "cmd-2013@outlook.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6 Forest Ave Ste 1",
            "city": "Paramus",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "076525245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.