Individual provider Active NPI

Donna Maria Merten, M.S.W./ L.C.S.W

  • Clinical Social Worker
  • Union, NJ
National Provider Identifier
1508950262
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04390000 Issued in NJ
Practice address
950 West Chestnut Street
Suite # 102
Union, NJ 07083
Phone
(908) 687-4520
Fax
(908) 687-4520
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
Yes

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
Clinical Social Worker 1041C0700X 44SC04390000 NJ Primary

Addresses

Primary practice location

950 West Chestnut Street
Suite # 102
Union, NJ 07083

Mailing address

366 Lum Avenue
Union, NJ 07083-7515
Phone (908) 687-4520

Other names 1

  • Miss Donna Maria Latorre Former name

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
I20050419000107 NJ Practitioner - Clinical Social Worker 8820036163 Practice locations: Clark, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17 Brant Ave
Clark, NJ 07066-1548
Phone (732) 381-0136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC04390000NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clark Psychology Center Past Accepting new patients

Organizations & group practices 1

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508950262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 LUM AVENUE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837515",
            "telephone_number": "908-687-4520",
            "fax_number": "908-687-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 WEST CHESTNUT STREET",
            "address_2": "SUITE # 102",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "07083",
            "telephone_number": "908-687-4520",
            "fax_number": "908-687-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERTEN",
        "first_name": "DONNA",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "M.S.W./ L.C.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04390000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "LATORRE",
            "middle_name": "MARIA",
            "prefix": "MISS",
            "credential": "M.S.W./ L.C.S.W.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Union, NJ

Sources for this page

Verify at the official NPI Registry.