Margaret Mary Licchio, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC04918600 Issued in NJ

Practice address

36 W Water St
Toms River, NJ 08753-7414

Phone

(732) 349-5550

NPI assigned

Jun 8, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Margaret Mary Nickel Former name

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

Specialty

Clinical Social Worker

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ocean Mental Health Services IncGroup PAC ID 7416943709, 35 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Ocean Mental Health Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bayville, NJ
  • NPI 1508884347
  Medicare reassignment Care Compare group
• Challenges Psychological Services, P.a.

  • Nursing Facility/Intermediate Care Facility
  • Howell, NJ
  • NPI 1114968427
  NPD (past)

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1558985374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BULLARD DR",
            "city": "LAVALLETTE",
            "state": "NJ",
            "postal_code": "087352803",
            "telephone_number": "732-266-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 W WATER ST",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537414",
            "telephone_number": "732-349-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICCHIO",
        "first_name": "MARGARET",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-08",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04918600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGARET",
            "last_name": "NICKEL",
            "middle_name": "MARY",
            "prefix": "MISS",
            "credential": "CSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Walter Emmett Lewis III, MD
• Daphney Lezin-Rakis, OD
• Liberty Primary Care LLC
• Delanie Libro
• Ronald J Liburdi, DC
• Life Choice Hospice of New Jersey, LLC
• Life Choice Hospice of Southern New Jersey LLC
• Life Prep Counseling
• Lifebulb LLC
• Lifeline Primary Care LLC

• 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 Jun 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.