Mary Lavecchia

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

905 Magie Ave
Union, NJ 07083-7737

Phone

(908) 403-0149

Fax

(908) 351-6800

NPI assigned

Mar 24, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1689201303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 PARK AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072081151",
            "telephone_number": "908-403-0149",
            "fax_number": "908-351-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 MAGIE AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837737",
            "telephone_number": "908-403-0149",
            "fax_number": "908-351-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVECCHIA",
        "first_name": "MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-24",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Luisa Laporta, DDS
• Walead Latif, D.O.
• Anna Carissa Latorre, APN
• Alicia Lauber, DPT
• Lynn Marie Laucik, MA LPC CADC
• Debra Ann Lawlor, R.PH
• Kelly Anne Lease, PT
• Diana Lebers
• Daveia R Lee-Ramirez
• Brian W Lee

• All providers in Union, NJ
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.