Individual provider Active NPI

Diana Marinaro, LCSW

  • Clinical Social Worker
  • Shrewsbury, NJ
National Provider Identifier
1669505038
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05316600 Issued in NJ
Practice address
167 Avenue at the CMN
Suite 10
Shrewsbury, NJ 07702-4805
Phone
(732) 245-7618
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 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 44SC05316600 NJ Primary

Addresses

Primary practice location

167 Avenue at the CMN
Suite 10
Shrewsbury, NJ 07702-4805

Mailing address

2501 Bedford Corners LN
Apt 4
Wall Township, NJ 07719-3800
Phone (732) 245-7618

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
I20110331000548 NJ Practitioner - Clinical Social Worker 4587847314 Reassigns benefits to 2 organizations
Practice locations: Red Bank, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

154 Main St
Apt 201
Matawan, NJ 07747-4115

65 Mechanic St
Suite L 2
Red Bank, NJ 07701-1852
Phone (732) 245-7618

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05316600NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Elder Life Management LLC Clinical CurrentSince Jun 10, 2019 Accepting new patients
Twin Rivers Psychotherapy Associates Clinical CurrentSince Aug 26, 2016 Accepting new patients
Premier Care LLC Dba Elder Life Home Care LLC Past Accepting new patients

Locations

39 Avenue At the Cmn
Ste 106
Shrewsbury, NJ 07702
Phone (732) 380-0012

4000 State Route 66
Ste 225
Tinton Falls, NJ 07753

Organizations & group practices 3

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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1669505038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 BEDFORD CORNERS LN",
            "address_2": "APT 4",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077193800",
            "telephone_number": "732-245-7618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 AVENUE AT THE CMN",
            "address_2": "SUITE 10",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024805",
            "telephone_number": "732-245-7618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINARO",
        "first_name": "DIANA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05316600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, NJ

Sources for this page

Verify at the official NPI Registry.