Active NPI
Maris Pasquale Doran, LCSW
- Clinical Social Worker
- Summit, NJ
National Provider Identifier
1437734548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05595100
- Practice address
- 45 River Rd Ste 4
Summit, NJ 07901-1452 - Phone
- (973) 218-4568
- NPI assigned
- Mar 10, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 73077210 | NY | |
| Clinical Social Worker | 1041C0700X | 44SC05595100 | NJ | Primary |
Addresses
Primary practice location
45 River Rd Ste 4
Summit, NJ 07901-1452
Mailing address
5 Claremont Ave
Maplewood, NJ 07040-2117
Phone (717) 329-9782
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
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05595100 | NJ | MD | Clinical Social Worker |
| 73077210 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615334400000",
"number": "1437734548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 CLAREMONT AVE",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "070402117",
"telephone_number": "717-329-9782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 RIVER RD STE 4",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079011452",
"telephone_number": "973-218-4568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORAN",
"first_name": "MARIS",
"middle_name": "PASQUALE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-10",
"last_updated": "2021-03-10",
"certification_date": "2021-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "73077210",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05595100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Summit, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.