Mary Luby, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05483100 Issued in NJ

Practice address

42 Manny Way
Red Bank, NJ 07701-5255

Phone

(732) 500-4909

Fax

(732) 224-9937

NPI assigned

Dec 17, 2013

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)

Enrolled

Practice roles

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.

• Premier Care LLC Dba Elder Life Home Care LLC

  • Home Health Agency
  • Tinton Falls, NJ
  • NPI 1548769326
  NPD (past)

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

{
    "created_epoch": "1387238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1841611936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 MANNY WAY",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015255",
            "telephone_number": "732-500-4909",
            "fax_number": "732-224-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 MANNY WAY",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015255",
            "telephone_number": "732-500-4909",
            "fax_number": "732-224-9937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBY",
        "first_name": "MARY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-17",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05483100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johanna Lothian, PT
• Diane S Loughrey, FNP-C
• Louis B Conte DMD PC
• Gail Patricia Lovallo, LCSW
• Jennifer Lovey
• Mackenzie Luciano
• Lucid Health Centers a NJ Nonprofit Corporation
• Luna Physicians
• Lundrigan Counseling and Psychological Services LLC
• Margaret M Lundrigan, PSY. D, LCSW

• Clinical Social Worker in Red Bank, NJ
• Providers in Red Bank, 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 May 13, 2021; 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.