Individual provider Active NPI

Mary R Haroun, LCSW, LCADC

  • Clinical Social Worker
  • Morristown, NJ
National Provider Identifier
1215274196
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05646900 Issued in NJ
Practice address
20 Community Place 4TH Floor
Morristown, NJ 07960
Phone
(973) 610-8851
NPI assigned
Jan 11, 2013
Last updated
Feb 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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 37LC00240100 NJ
Clinical Social Worker 1041C0700X 44SC05646900 NJ Primary

Addresses

Primary practice location

20 Community Place 4TH Floor
Morristown, NJ 07960

Mailing address

20 Community Place 4TH Floor
Morristown, NJ 07960
Phone (973) 610-8851

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
I20151118001116 NJ Practitioner - Clinical Social Worker 9638479959 Practice locations: Morristown, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

20 Community PL
FL 4
Morristown, NJ 07960-7500
Phone (973) 610-8851

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37LC00240100NJMDAddiction (Substance Use Disorder) Counselor
44SC05646900NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Haroun, LLC Addiction (Substance Use Disorder) Current Accepting new patients

Locations

178 E Hanover Ave
#103101
Cedar Knolls, NJ 07927

20 Community Pl
Fl 4
Morristown, NJ 07960
Phone (973) 539-1008

66 Maple Ave
Ste 1
Morristown, NJ 07960
Phone (973) 610-8851

Organizations & group practices 1

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": "1357862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1215274196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 COMMUNITY PLACE 4TH FLOOR",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "07960",
            "telephone_number": "973-610-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 COMMUNITY PLACE 4TH FLOOR",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "07960",
            "telephone_number": "973-610-8851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAROUN",
        "first_name": "MARY",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-11",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00240100",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05646900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.