Active NPI
Maureen Mulvanerton, LCSW
- Clinical Social Worker
- Hillsborough, NJ
National Provider Identifier
1750568705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44C05196800
- Practice address
- 390 Amwell Rd
Building 4 / Suite 401
Hillsborough, NJ 08844-1225 - Phone
- (908) 431-9200
- NPI assigned
- Jan 22, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44C05196800 | NJ | Primary |
Addresses
Primary practice location
390 Amwell Rd
Building 4 / Suite 401
Hillsborough, NJ 08844-1225
Mailing address
390 Amwell Rd
Building 4 / Suite 401
Hillsborough, NJ 08844-1225
Phone (908) 431-9200
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
| License | State | Type | Specialty |
|---|---|---|---|
| 44C05196800 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Psychological Services | Past | Accepting new patients |
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.
-
- Mental Health Counselor
- Hillsborough, NJ
- NPI 1881635233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200960000000",
"number": "1750568705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 AMWELL RD",
"address_2": "BUILDING 4 / SUITE 401",
"city": "HILLSBOROUGH",
"state": "NJ",
"postal_code": "088441225",
"telephone_number": "908-431-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 AMWELL RD",
"address_2": "BUILDING 4 / SUITE 401",
"city": "HILLSBOROUGH",
"state": "NJ",
"postal_code": "088441225",
"telephone_number": "908-431-9200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULVANERTON",
"first_name": "MAUREEN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-22",
"last_updated": "2008-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44C05196800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hillsborough, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.