Hodges-Metamorphosis

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

HODGES-METAMORPHOSIS

Practice address

241 Hudson St Ste 33
Hackensack, NJ 07601-6708

Phone

(201) 255-7348

Fax

(201) 255-7352

NPI assigned

Jun 5, 2020

Organization subpart

No

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

Authorized official

Name

Marettta Hodges Hodges, ED.M, MSW

Title

Executive Director

Phone

(973) 444-5341

Specialties & licenses 6

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maretta L Hodges

  • Behavior Analyst
  • Teaneck, NJ
  • NPI 1942786827
  NPD

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643846400000",
    "number": "1295359115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SELVAGE AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664819",
            "telephone_number": "973-444-5341",
            "fax_number": "201-255-7352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 HUDSON ST STE 33",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016708",
            "telephone_number": "201-255-7348",
            "fax_number": "201-255-7352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HODGES-METAMORPHOSIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-05",
        "last_updated": "2022-02-03",
        "certification_date": "2021-02-17",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "MARETTTA",
        "authorized_official_middle_name": "HODGES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "973-444-5341",
        "authorized_official_credential": "ED.M, MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "721247",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• HMH Hospitals Corporation
• HMH Hospitals Corporation
• HMH Hospitals Corporation
• HMH Hospitals Corporation
• Aaron Hodes, M.D.
• Ayelet Hoenig, WHNP
• Laura Katherine Hoffman, RN
• Nicholas Hoffman, NP
• Mamawa Massally Hollendyke, DNP, CRNA
• Mark Bradford Holmes, DPT

• All providers in Hackensack, NJ
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.