Individual provider Active NPI

Maria Nicole Cowan, LCSW

  • Clinical Social Worker
  • Neptune, NJ
National Provider Identifier
1609380120
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05727600 Issued in NJ
Practice address
1828 W Lake Ave
Neptune, NJ 07753-4663
Phone
(908) 596-1718
NPI assigned
Nov 20, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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 44SC05727600 NJ Primary

Addresses

Primary practice location

1828 W Lake Ave
Neptune, NJ 07753-4663

Mailing address

1200 Jumping Brook Rd
BLDG 5 Ste 201 Attn: Beahavioral Health Credentialing
Neptune, NJ 07753
Phone (732) 345-3407

Other practice location 1

597 Park Ave
Freehold, NJ 07728-2590
Phone (732) 294-2540

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
I20190408002204 NJ Practitioner - Clinical Social Worker 7719228378 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shore Integrated Counseling LLCGroup PAC ID 9032529904, 6 clinicians

Practice addresses (Care Compare)

1540 State Route 138
Suite 208
Wall, NJ 07719-3765
Phone (732) 455-1198

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05727600NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Visiting Nurse Association of Central Jersey Community Health Center I Current Accepting new patients
Visiting Nurse Association of Central Jersey, Community Health Center, CurrentSince Mar 1, 2019 Accepting new patients
Shore Integrated Counseling LLC CurrentSince Jul 1, 2021 Accepting new patients
Visiting Nurse Association of Central Jersey Community Health Center I CurrentSince Mar 1, 2019 Accepting new patients

Locations

1301 Main St
Asbury Park, NJ 07712
Phone (732) 774-6333

597 Park Ave
Ste B
Freehold, NJ 07728
Phone (732) 294-2540

597 Park Ave
Freehold, NJ 07728
Phone (732) 294-2540

35 Broad St
Keyport, NJ 07735
Phone (732) 888-4149

1010 State Route 71
Ste 2A
Spring Lake, NJ 07762
Phone (732) 455-1198

1540 State Route 138
Ste 208
Wall, NJ 07719
Phone (732) 681-9045

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1609380120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 JUMPING BROOK RD",
            "address_2": "BLDG 5 STE 201 ATTN: BEAHAVIORAL HEALTH CREDENTIALING",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "07753",
            "telephone_number": "732-345-3407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 W LAKE AVE",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534663",
            "telephone_number": "908-596-1718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "597 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Freehold",
            "state": "NJ",
            "postal_code": "077282590",
            "country_code": "US",
            "telephone_number": "732-294-2540",
            "fax_number": "732-254-9328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COWAN",
        "first_name": "MARIA",
        "middle_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-20",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05727600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

Verify at the official NPI Registry.