Maryclaire Mena, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC00193900 Issued in NJ

Practice address

50 Benson Ave
Westwood, NJ 07675-1803

Phone

(201) 358-6404

Fax

(201) 358-6404

NPI assigned

Apr 23, 2010

Last updated

Apr 23, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Maryclaire Mena, LCSW

  • Clinical Social Worker
  • Waldwick, NJ
  • NPI 1568981991
  NPD Authorized official

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271980800000",
    "number": "1326365883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BENSON AVE",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076751803",
            "telephone_number": "201-358-6404",
            "fax_number": "201-358-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BENSON AVE",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076751803",
            "telephone_number": "201-358-6404",
            "fax_number": "201-358-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENA",
        "first_name": "MARYCLAIRE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-23",
        "last_updated": "2010-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00193900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH CARE",
            "identifier": "P2695417",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlin McCaul
• Laura Jane McConville, LSW
• John E McNerney, DPM
• Lisa Marie McNerney, ATC
• Kelly Nicole Meara, OTR/L
• Nicole Louise Messick, COTA
• Michael V. Macri, M.D., P.C.
• John A. Mikros, OPTICIAN
• Millenium Health Care Centers II, LLC (Care One at Valley Assisted Living)
• Millennium Healthcare Centers II, LLC (Care One at Valley)

• Clinical Social Worker in Westwood, NJ
• Providers in Westwood, 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 Apr 23, 2010; 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.