Individual provider Active NPI

Marissa Lee Murray, LCSW

  • Clinical Social Worker
  • Matawan, NJ
National Provider Identifier
1477065647
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05959600 Issued in NJ
Practice address
166 Main St
Matawan, NJ 07747-3104
Phone
(732) 290-9040
Fax
(732) 290-9040
NPI assigned
Oct 28, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 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 44SC05959600 NJ Primary

Addresses

Primary practice location

166 Main St
Matawan, NJ 07747-3104

Mailing address

354 Cliffwood Ave
Cliffwood, NJ 07721-1132
Phone (732) 977-6874

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
I20241029000331 NJ Practitioner - Clinical Social Worker 4284167396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inner Clarity CounselingGroup PAC ID 8022442078, 10 clinicians

Practice addresses (Care Compare)

Hazlet, NJ 07730
Phone (732) 639-0232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05959600NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Clarity Counseling Clinical CurrentSince Oct 1, 2024 Accepting new patients
Inner Clarity LLC Clinical CurrentSince Oct 1, 2024 Accepting new patients

Locations

22 Village Ct
Hazlet, NJ 07730
Phone (732) 639-0232

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": "1509148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1477065647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 CLIFFWOOD AVE",
            "city": "CLIFFWOOD",
            "state": "NJ",
            "postal_code": "077211132",
            "telephone_number": "732-977-6874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 MAIN ST",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077473104",
            "telephone_number": "732-290-9040",
            "fax_number": "732-290-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "MARISSA",
        "middle_name": "LEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-28",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05959600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matawan, NJ

Sources for this page

Verify at the official NPI Registry.