Mary V Dechristofano, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC00593100 Issued in NJ

Practice address

287 Boulevard
Pompton Plains, NJ 07444-1726

Phone

(973) 835-0740

Fax

(973) 633-8658

NPI assigned

Apr 29, 2008

Last updated

Sep 17, 2009By the provider in NPPES

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

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, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Eclectic Counseling Center

  • Clinical Social Worker
  • Pompton Plains, NJ
  • NPI 1770749608
  Medicare reassignment NPD

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253145600000",
    "number": "1588839708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "287 BOULEVARD",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074441726",
            "telephone_number": "973-835-0740",
            "fax_number": "973-633-8658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 BOULEVARD",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074441726",
            "telephone_number": "973-835-0740",
            "fax_number": "973-633-8658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECHRISTOFANO",
        "first_name": "MARY",
        "middle_name": "V",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-29",
        "last_updated": "2009-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00593100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arlene D' Cunha, M.D.
• Siyka D'Agostino
• Lisa Damico, PTA
• Michael R. Dara, MD
• Joseph Leonard Dechristofano, LCSW
• Danielle Degroot
• Harold Delaleu, M.D.
• Danielle Deleonardo, LMT
• Andrew Thomas Dellapi, MD
• John Demarco, M.ED., LPC

• Clinical Social Worker in Pompton Plains, NJ
• Providers in Pompton Plains, 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 Sep 17, 2009; 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.