Active NPI
Paivi Marjaana Outinen, RN, MSW
- Clinical Social Worker
- Chatham, NJ
National Provider Identifier
1770525248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC01382200
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 721159000 | Other | NJ | MAGELLAN |
| P3177785 | Other | NJ | OXFORD BEHAVIORAL HEALTH |
| 2187131 | Other | NJ | CIGNA |
| 240453648 | Other | NJ | UBH |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 26NO08591900 | NJ | MD | Registered 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.