Individual provider Active NPI

Eileen Rose Murino, LMSW

  • Social Worker
  • Staten Island, NY
National Provider Identifier
1720574908
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
091508-1 Issued in NY
Practice address
91 Thornycroft Ave
Staten Island, NY 10312-6541
Phone
(718) 967-3659
NPI assigned
Jul 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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 091508-1 NY Primary

Addresses

Primary practice location

91 Thornycroft Ave
Staten Island, NY 10312-6541

Mailing address

91 Thornycroft Ave
Staten Island, NY 10312-6541
Phone (201) 819-2977

Other names 1

  • Eileen Rose Moclaire Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
091508-1NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1720574908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 THORNYCROFT AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126541",
            "telephone_number": "201-819-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 THORNYCROFT AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126541",
            "telephone_number": "718-967-3659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURINO",
        "first_name": "EILEEN",
        "middle_name": "ROSE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-10",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "091508-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EILEEN",
            "last_name": "MOCLAIRE",
            "middle_name": "ROSE",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.