Individual provider Active NPI

Maureen Tirella, LSW,LCADC

  • Addiction (Substance Use Disorder) Counselor
  • Toms River, NJ
National Provider Identifier
1609435452
Registry record updated Apr 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
37LC00291900 Issued in NJ
Practice address
232 Morris Blvd
Toms River, NJ 08753-7142
Phone
(732) 814-3005
NPI assigned
Jun 6, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00291900 NJ Primary

Addresses

Primary practice location

232 Morris Blvd
Toms River, NJ 08753-7142

Mailing address

232 Morris Blvd
Toms River, NJ 08753-7142
Phone (732) 814-3005

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
I20200806002389 NJ Practitioner - Clinical Social Worker 1951726801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2640 Route 70
BLDG 7a
Manasquan, NJ 08736-2609
Phone (732) 908-6023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37LC00291900NJMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Safety Net for Substance Use Disorders LLC Addiction (Substance Use Disorder) CurrentSince Apr 15, 2024 Accepting new patients

Locations

2640 Route 70
Bldg 7A
Manasquan, NJ 08736
Phone (732) 449-9503

Organizations & group practices 1

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": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713052800000",
    "number": "1609435452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 MORRIS BLVD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537142",
            "telephone_number": "732-814-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 MORRIS BLVD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537142",
            "telephone_number": "732-814-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIRELLA",
        "first_name": "MAUREEN",
        "credential": "LSW,LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-06",
        "last_updated": "2024-04-14",
        "certification_date": "2024-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00291900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.