Mary R. Mastria, PHD, LCSW, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC04597400 Issued in NJ

Legal business name

MARY R. MASTRIA, PHD, LCSW, LLC

Practice address

57 Union PL
Suite 212
Summit, NJ 07901-2568

Phone

(908) 277-1411

NPI assigned

Oct 23, 2014

Organization subpart

No

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

Authorized official

Name

Mary R Ricciardi-Mastria

Title

Employer

Phone

(908) 277-1411

Specialties & licenses 1

Addresses

Other names 1

• mary r mastria, phd, lcsw Other name

Locations

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669161600000",
    "number": "1255736062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 UNION PL",
            "address_2": "SUITE 212",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079012568",
            "telephone_number": "908-277-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 UNION PL",
            "address_2": "SUITE 212",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079012568",
            "telephone_number": "908-277-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY R. MASTRIA, PHD, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-23",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A",
        "authorized_official_last_name": "RICCIARDI-MASTRIA",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EMPLOYER",
        "authorized_official_telephone_number": "908-277-1411"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04597400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mary r mastria, phd, lcsw",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Daniel J Markley, MD
• Paul Markowski, MD
• Cynthia Roseann Marrapodi, M.S. CCC-SLP
• Chris Marrone, D.C.
• Laura Martucci
• Melissa Mascaro, MD
• Paul Mastrokyriakos, DO
• Benjamin Mathew
• Jeslin Justin Mattathil, NP
• Meghan Matusiak, MS, OTR/L

• Clinical Social Worker in Summit, NJ
• Providers in Summit, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.