Individual provider Active NPI

Tara J. Moloney, LSCW

  • Clinical Social Worker
  • Hackettstown, NJ
National Provider Identifier
1609003607
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05431400 Issued in NJ
Practice address
1001 Route 517
Hackettstown, NJ 07840-2730
Phone
(908) 674-1638
NPI assigned
Jun 17, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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 44SC05431400 NJ Primary

Addresses

Primary practice location

1001 Route 517
Hackettstown, NJ 07840-2730

Mailing address

1001 Route 517
Hackettstown, NJ 07840-2730
Phone (908) 674-1638

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
I20150617000665 NJ Practitioner - Clinical Social Worker 9739490798 Practice locations: Hackettstown, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1001 County Rd
517 Suite 1
Hackettstown, NJ 07840

1001 County Rd
517 Suite 1
Hackettstown, NJ 07840-2731
Phone (908) 674-1638

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05431400NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291680000000",
    "number": "1609003607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 ROUTE 517",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402730",
            "telephone_number": "908-674-1638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 ROUTE 517",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402730",
            "telephone_number": "908-674-1638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLONEY",
        "first_name": "TARA",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "LSCW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-17",
        "last_updated": "2010-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05431400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackettstown, NJ

Sources for this page

Verify at the official NPI Registry.