Individual provider Active NPI

Maria Hennigan, LCSW

  • Clinical Social Worker
  • Toms River, NJ
National Provider Identifier
1407617400
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05523300 Issued in NJ
Practice address
668 Commons Way BLDG I
Toms River, NJ 08755-6431
Phone
(732) 797-1444
NPI assigned
Jan 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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 44SC05523300 NJ Primary

Addresses

Primary practice location

668 Commons Way BLDG I
Toms River, NJ 08755-6431

Mailing address

668 Commons Way BLDG I
Toms River, NJ 08755-6431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 15, 2024 through Feb 15, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SC05523300NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Leadem Counseling & Consulting Services, LLC Clinical CurrentSince Jan 21, 2024 Accepting new patients
Leadem Counseling Clinical CurrentSince Jan 21, 2024 Accepting new patients

Locations

668 Commons Way
Bldg I
Toms River, NJ 08755
Phone (732) 797-1444

Organizations & group practices 2

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": "1705449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1407617400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 COMMONS WAY BLDG I",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 COMMONS WAY BLDG I",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556431",
            "telephone_number": "732-797-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNIGAN",
        "first_name": "MARIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05523300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.