Individual provider Active NPI

Theresa M Murray, LCSW

  • Clinical Social Worker
  • Wayne, NJ
National Provider Identifier
1366767360
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04869800 Issued in NJ
Practice address
661 State Route 23
Wayne, NJ 07470-6814
Phone
(862) 881-2988
NPI assigned
Apr 1, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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 44SC04869800 NJ Primary

Addresses

Primary practice location

661 State Route 23
Wayne, NJ 07470-6814

Mailing address

478 Passaic Ave
West Caldwell, NJ 07006-7447
Phone (862) 881-2988

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
I20150710000160 NJ Practitioner - Clinical Social Worker 2163734724 Reassigns benefits to 3 organizations

Care Compare profile

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

Practice addresses (Care Compare)

661 State Route 23
Wayne, NJ 07470-6814
Phone (862) 881-2988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC04869800NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Maron & Rodrigues Medical Group LLC CurrentSince Apr 16, 2019 Accepting new patients
Creative Counseling Solutions CurrentSince Apr 1, 2023 Accepting new patients
Senior Care Therapy LLC Clinical CurrentSince Feb 22, 2016 Accepting new patients
Maron and Rodrigues Medical Group Current Accepting new patients

Locations

2719 Hollywood Blvd
Hollywood, FL 33020
Phone (954) 354-2555

10 James St
Ste 150
Florham Park, NJ 07932
Phone (973) 822-2000

661 State Route 23
Wayne, NJ 07470
Phone (862) 881-2988

661 State Route 23
Fl 2
Wayne, NJ 07470

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JEBHBD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1366767360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "478 PASSAIC AVE",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067447",
            "telephone_number": "862-881-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 STATE ROUTE 23",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706814",
            "telephone_number": "862-881-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "THERESA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-01",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04869800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.