Michelle A. Mroz, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC04712400 Issued in NJ

Practice address

103 Park St
Montclair, NJ 07042-5913

Phone

(973) 495-6964

Fax

(201) 336-8194

NPI assigned

Dec 16, 2008

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

State licenses

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

{
    "created_epoch": "1229385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229385600000",
    "number": "1760627061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 PARK ST",
            "address_2": "#5",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423901",
            "telephone_number": "973-495-6964",
            "fax_number": "201-336-8194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 PARK ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070425913",
            "telephone_number": "973-495-6964",
            "fax_number": "201-336-8194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MROZ",
        "first_name": "MICHELLE",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-16",
        "last_updated": "2008-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04712400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thealisa Moss, LCSW
• Christine Motta, LCSW
• Mountainside Hospital
• Yousef Moussa, DDS
• MPDC
• Lana Mukhtar, MD
• Kaitlin Mulcahy, LMHC, LPC
• Maryann Mule, LPC
• Amanda Mullen, M.S.
• Daniel Sherwood Mundy, MD

• Clinical Social Worker in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.

Verify at the official NPI Registry.