Individual provider Active NPI

Doreen Marie Pontius-Molos, L.C.S.W.

  • Clinical Social Worker
  • Dumont, NJ
National Provider Identifier
1245453026
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05534700 Issued in NJ
Practice address
2 Park Ave
Dumont, NJ 07628-3004
Phone
(201) 385-4400
Fax
(201) 385-9689
NPI assigned
Apr 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 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 44SC05534700 NJ Primary

Addresses

Primary practice location

2 Park Ave
Dumont, NJ 07628-3004

Mailing address

841 Palmer Ave
Maywood, NJ 07607-1719
Phone (201) 556-1752

Other practice location 1

1485 Teaneck Rd Fl 2
Teaneck, NJ 07666-3626
Phone (201) 837-9090

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Higher Ground Behavioral Health LLC CurrentSince Dec 1, 2022 Accepting new patients

Locations

20 E Taunton Rd
Ste 540
Berlin, NJ 08009
Phone (856) 809-2940

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1245453026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 PALMER AVE",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071719",
            "telephone_number": "201-556-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PARK AVE",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076283004",
            "telephone_number": "201-385-4400",
            "fax_number": "201-385-9689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1485 Teaneck Rd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Teaneck",
            "state": "NJ",
            "postal_code": "076663626",
            "country_code": "US",
            "telephone_number": "201-837-9090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PONTIUS-MOLOS",
        "first_name": "DOREEN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05534700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dumont, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.