Individual provider Active NPI

Marion Lorenzo, LCSW

  • Social Worker
  • Washington Township, NJ
National Provider Identifier
1477691632
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SC00481000 Issued in NJ
Practice address
475 Ridgewood Blvd North
Washington Township, NJ 07676
Phone
(201) 666-1241
Fax
(201) 666-1725
NPI assigned
Feb 1, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SC00481000 NJ Primary

Addresses

Primary practice location

475 Ridgewood Blvd North
Washington Township, NJ 07676

Mailing address

475 Ridgewood Blvd North
Washington Township, NJ 07676
Phone (201) 666-1241

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
I20050412001043 NJ Practitioner - Clinical Social Worker 5698712578 Practice locations: Township of Washington, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

475 Ridgewood Blvd N
Township of Washington, NJ 07676-4632
Phone (201) 666-1241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC00481000NJMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477691632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 RIDGEWOOD BLVD NORTH",
            "city": "WASHINGTON TOWNSHIP",
            "state": "NJ",
            "postal_code": "07676",
            "telephone_number": "201-666-1241",
            "fax_number": "201-666-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 RIDGEWOOD BLVD NORTH",
            "city": "WASHINGTON TOWNSHIP",
            "state": "NJ",
            "postal_code": "07676",
            "telephone_number": "201-666-1241",
            "fax_number": "201-666-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENZO",
        "first_name": "MARION",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SC00481000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington Township, NJ

Sources for this page

Verify at the official NPI Registry.