Organization Active NPI

Marin Integrative Therapy

  • Clinical Social Worker
  • Toms River, NJ
National Provider Identifier
1609200542
Registry record updated Aug 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MARIN INTEGRATIVE THERAPY
Practice address
82 E Water St
Rear Building
Toms River, NJ 08753-7554
Phone
(908) 910-9353
NPI assigned
Aug 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2014

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

Authorized official

Name
Beth S Kane, LCSW
Title
Partner
Phone
(732) 244-2210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

82 E Water St
Rear Building
Toms River, NJ 08753-7554

Mailing address

PO Box 758
Island Heights, NJ 08732-0758
Phone (908) 910-9353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131204000059 NJ Part B Supplier - Clinic/Group Practice 0042446676 Receives reassigned benefits from 1 practitioner
Practice locations: Point Pleasant Boro, NJ

National Provider Directory

National Provider Directory

Locations

3156 Route 88
Ste 2
Point Pleasant Boro, NJ 08742
Phone (732) 267-0860

82 E Water St
Rear
Toms River, NJ 08753
Phone (732) 244-2210

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406851200000",
    "number": "1609200542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 758",
            "city": "ISLAND HEIGHTS",
            "state": "NJ",
            "postal_code": "087320758",
            "telephone_number": "908-910-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 E WATER ST",
            "address_2": "REAR BUILDING",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537554",
            "telephone_number": "908-910-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIN INTEGRATIVE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-28",
        "last_updated": "2014-08-01",
        "status": "A",
        "authorized_official_last_name": "KANE",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "732-244-2210",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.