Individual provider Active NPI

Mary Giovinazzo, LSW

  • Clinical Social Worker
  • Freehold, NJ
National Provider Identifier
1609228709
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SL06187300 Issued in NJ
Practice address
90 W Main St
Freehold, NJ 07728-2144
Phone
(908) 230-8772
NPI assigned
Jul 13, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2016

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 44SL06187300 NJ Primary

Addresses

Primary practice location

90 W Main St
Freehold, NJ 07728-2144

Mailing address

212 Prospect St
Apt. 2
Westfield, NJ 07090-4060
Phone (908) 230-8772

Other identifiers 1

IdentifierTypeStateIssuer
44SL06187300OtherNJSOCIAL WORK EXAMINERS, LICENSED SOCIAL WORKER

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
I20190220001430 NJ Practitioner - Clinical Social Worker 9739427550 Practice locations: Westfield, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

131 S Euclid Ave
Westfield, NJ 07090-2129
Phone (908) 312-0987

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL06187300NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468368000000",
    "number": "1609228709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 PROSPECT ST",
            "address_2": "APT. 2",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070904060",
            "telephone_number": "908-230-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282144",
            "telephone_number": "908-230-8772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIOVINAZZO",
        "first_name": "MARY",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-13",
        "last_updated": "2016-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL06187300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK EXAMINERS, LICENSED SOCIAL WORKER",
            "identifier": "44SL06187300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.