Individual provider Active NPI

Paivi Marjaana Outinen, RN, MSW

  • Clinical Social Worker
  • Chatham, NJ
National Provider Identifier
1770525248
Registry record updated Nov 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC01382200 Issued in NJ
Practice address
19 Washington Ave
Chatham, NJ 07928-2107
Phone
(973) 665-1782
Fax
(973) 665-1782
NPI assigned
Jun 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC01382200 NJ Primary
Registered Nurse 163W00000X 26NO08591900 NJ

Addresses

Primary practice location

19 Washington Ave
Chatham, NJ 07928-2107

Mailing address

1 Drexel Dr
Stanhope, NJ 07874-3309
Phone (973) 600-5744

Other identifiers 4

IdentifierTypeStateIssuer
721159000OtherNJMAGELLAN
P3177785OtherNJOXFORD BEHAVIORAL HEALTH
2187131OtherNJCIGNA
240453648OtherNJUBH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040618000853 NJ Practitioner - Clinical Social Worker 9537144290 Practice locations: Chatham, NJ; Montville, NJ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NO08591900NJMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227830400000",
    "number": "1770525248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DREXEL DR",
            "city": "STANHOPE",
            "state": "NJ",
            "postal_code": "078743309",
            "telephone_number": "973-600-5744",
            "fax_number": "973-227-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 WASHINGTON AVE",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079282107",
            "telephone_number": "973-665-1782",
            "fax_number": "973-665-1782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUTINEN",
        "first_name": "PAIVI",
        "middle_name": "MARJAANA",
        "name_prefix": "Mrs.",
        "credential": "RN, MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2008-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC01382200",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NO08591900",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "721159000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD BEHAVIORAL HEALTH",
            "identifier": "P3177785",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2187131",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH",
            "identifier": "240453648",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatham, NJ

Sources for this page

Verify at the official NPI Registry.