Individual provider Active NPI

Dennis Peter Dauria, LCSW

  • Clinical Social Worker
  • Hackettstown, NJ
National Provider Identifier
1336124460
Registry record updated Aug 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04645900 Issued in NJ
Practice address
1001 Route 517
Suite One
Hackettstown, NJ 07840
Phone
(908) 797-3392
Fax
(908) 684-8080
NPI assigned
Dec 13, 2005
Last updated
Aug 8, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2012

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 44SC04645900 NJ Primary

Addresses

Primary practice location

1001 Route 517
Suite One
Hackettstown, NJ 07840

Mailing address

122 Danville Mountain Rd
Great Meadows, NJ 07838
Phone (908) 637-8079

Other identifiers 2

IdentifierTypeStateIssuer
266991000OtherNJMAGELLAN
2151830000OtherNJAMERIHEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040825000152 NJ Practitioner - Clinical Social Worker 2163496142 Practice locations: Hackettstown, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1001 Route 517
Suite One
Hackettstown, NJ 07840-2731
Phone (908) 797-3392

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC04645900NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344384000000",
    "number": "1336124460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 DANVILLE MOUNTAIN RD",
            "city": "GREAT MEADOWS",
            "state": "NJ",
            "postal_code": "07838",
            "telephone_number": "908-637-8079",
            "fax_number": "908-674-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 ROUTE 517",
            "address_2": "SUITE ONE",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "07840",
            "telephone_number": "908-797-3392",
            "fax_number": "908-684-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAURIA",
        "first_name": "DENNIS",
        "middle_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2012-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04645900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "266991000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2151830000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackettstown, NJ

Sources for this page

Verify at the official NPI Registry.