Individual provider Active NPI

Maris Chavenson, LCSW

  • Social Worker
  • Somerville, NJ
National Provider Identifier
1700123460
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL05792500 Issued in NJ
Practice address
150 W High St Ste a
Somerville, NJ 08876-1854
Phone
(908) 725-7799
NPI assigned
Jan 14, 2013
Last updated
Jun 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL05792500 NJ Primary

Addresses

Primary practice location

150 W High St Ste a
Somerville, NJ 08876-1854

Mailing address

9 Timber Rd
East Brunswick, NJ 08816-2941
Phone (732) 254-4392

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170710000065 NJ Practitioner - Clinical Social Worker 4284903162 Reassigns benefits to 1 organization
I20241114002752 PA Practitioner - Clinical Social Worker 4284903162 Practice locations: Langhorne, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

150 A W High St
Somerville, NJ 08876-1854

8 Shady Brook Dr
Langhorne, PA 19047-8000
Phone (732) 672-6303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL05792500NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Service of Somerset Hunterdon & Warren Counties CurrentSince Jun 8, 2017 Accepting new patients

Locations

150 W High St
Ste A
Somerville, NJ 08876
Phone (908) 725-7799

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1700123460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 TIMBER RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088162941",
            "telephone_number": "732-254-4392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W HIGH ST STE A",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088761854",
            "telephone_number": "908-725-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVENSON",
        "first_name": "MARIS",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-14",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05792500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, NJ

Sources for this page

Verify at the official NPI Registry.