Individual provider Active NPI

Dolores M Mingione, MSW, LCSW

  • Clinical Social Worker
  • Matawan, NJ
National Provider Identifier
1235118332
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00747800 Issued in NJ
Practice address
935 Hwy 34, Suites 2E
Suite 3
Matawan, NJ 07747-3282
Phone
(732) 681-7183
Fax
(732) 441-0100
NPI assigned
Jan 17, 2006
Last updated
Oct 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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 44SC00747800 NJ Primary

Addresses

Primary practice location

935 Hwy 34, Suites 2E
Suite 3
Matawan, NJ 07747-3282

Mailing address

935 Hwy 34, Suites 2E
Suite 3
Matawan, NJ 07747-3282
Phone (732) 681-7183

Other identifiers 4

IdentifierTypeStateIssuer
103952OtherMHN
207527OtherCOMPSYCH
P404575OtherOXFORD
7329787OtherGHI

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
44SC00747800NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindy Staum, LCSW, P.a Clinical Past Accepting new patients
Center for Marriage & Family Therapy, P.C. Clinical PastSince Jan 18, 2016 Accepting new patients

Organizations & group practices 2

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": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1235118332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 HWY 34, SUITES 2E",
            "address_2": "SUITE 3",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077473282",
            "telephone_number": "732-681-7183",
            "fax_number": "732-441-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 HWY 34, SUITES 2E",
            "address_2": "SUITE 3",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077473282",
            "telephone_number": "732-681-7183",
            "fax_number": "732-441-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINGIONE",
        "first_name": "DOLORES",
        "middle_name": "M",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00747800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "103952",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH",
            "identifier": "207527",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P404575",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "7329787",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Matawan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.