Mario Dartayet-Rodriguez, LCSW, CSAT

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05737600 Issued in NJ

Practice address

543 Valley Rd Ste 6
Montclair, NJ 07043-1844

Phone

(973) 744-9130

NPI assigned

Aug 18, 2014

Last updated

Jun 29, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Upper Montclair Psychological Associates, LLC

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  NPD
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  • NPI 1912397704
  NPD (past)

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1487053278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 VALLEY RD STE 6",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431844",
            "telephone_number": "973-744-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 VALLEY RD STE 6",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431844",
            "telephone_number": "973-744-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARTAYET-RODRIGUEZ",
        "first_name": "MARIO",
        "name_prefix": "Mr.",
        "credential": "LCSW, CSAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-18",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05737600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Cadoo Daniels, M.D.
• Seth Michael Dannis, M.D.
• Danz Inc
• Heather J Danz, BCO BADO
• Allison Darrow, MS-CCC-SLP
• Andreia Dasilva, LCSW
• Ayana Najwa Dasilva, LCSW
• Michael Davidson, DMD
• Davis Chiropractic Center LLC
• Davis Integrated Medicine LLC

• Clinical Social Worker in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.