Individual provider Active NPI

Maria Lourdes Cordero, LCSW

  • Clinical Social Worker
  • Morristown, NJ
National Provider Identifier
1366689325
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04991000 Issued in NJ
Practice address
100 Madison Avenue
Child Development Center Box 100 Morristown Memorial Ho
Morristown, NJ 07962-1956
Phone
(973) 971-4208
Fax
(973) 290-7164
NPI assigned
Jan 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

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 44SC04991000 NJ Primary

Addresses

Primary practice location

100 Madison Avenue
Child Development Center Box 100 Morristown Memorial Ho
Morristown, NJ 07962-1956

Mailing address

100 Madison Avenue
Child Development Center Box 100 Morristown Memorial Ho
Morristown, NJ 07962-1956
Phone (973) 971-4208

Other names 1

  • Maria Cordero Rudden Other name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SC04991000NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231804800000",
    "number": "1366689325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MADISON AVENUE",
            "address_2": "CHILD DEVELOPMENT CENTER BOX 100 MORRISTOWN MEMORIAL HO",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079621956",
            "telephone_number": "973-971-4208",
            "fax_number": "973-290-7164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MADISON AVENUE",
            "address_2": "CHILD DEVELOPMENT CENTER BOX 100 MORRISTOWN MEMORIAL HO",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079621956",
            "telephone_number": "973-971-4208",
            "fax_number": "973-290-7164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDERO",
        "first_name": "MARIA",
        "middle_name": "LOURDES",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-13",
        "last_updated": "2009-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04991000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "RUDDEN",
            "middle_name": "CORDERO",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; 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.