Maryanne Michelle Raynor, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC04697200 Issued in NJ

Practice address

609 Main St
Toms River, NJ 08753-7461

Phone

(732) 841-3762

NPI assigned

Oct 5, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367884800000",
    "number": "1538255583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 1ST AVE",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087423018",
            "telephone_number": "732-841-3762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 MAIN ST",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537461",
            "telephone_number": "732-841-3762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYNOR",
        "first_name": "MARYANNE",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2013-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04697200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE#  LCSW",
            "identifier": "44SC04697200",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11692878",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL ASSOCIATION OF SOCIAL WORKERS",
            "identifier": "881590885",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna B Rauti, OTR/L
• Wijeyadevendram Ravindran, MD
• Theodore Edward Ray Jr., PHARMD
• Vivek Rayavarapu, MD
• Aaron Paul Raymond, RD
• Greggy Rayos
• Reza Razvi, DO
• Jaclyn Razzagone, M.A. CCC-SLP
• Reaching Beyond LLC
• Stephanie Marie Reahm, MPT

• Clinical Social Worker in Toms River, NJ
• Providers in Toms River, 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 May 7, 2013; 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.