Individual provider Active NPI

Lorise Wien Mayer, LCSW, NCPSYA

  • Clinical Social Worker
  • Mahwah, NJ
National Provider Identifier
1851461420
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04829600 Issued in NJ
Practice address
14 Victoria Lane
Mahwah, NJ 07430-2572
Phone
(201) 906-6382
NPI assigned
Nov 9, 2006
Last updated
Sep 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC04829600 NJ Primary

Addresses

Primary practice location

14 Victoria Lane
Mahwah, NJ 07430-2572

Mailing address

14 Victoria Lane
Mahwah, NJ 07430-2572
Phone (201) 906-6382

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
I20040415000774 NJ Practitioner - Clinical Social Worker 3274528724 Practice locations: Mahwah, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

14 Victoria LN
Mahwah, NJ 07430-2542
Phone (201) 906-6382

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC04829600NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1851461420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 VICTORIA LANE",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074302572",
            "telephone_number": "201-906-6382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 VICTORIA LANE",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074302572",
            "telephone_number": "201-906-6382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYER",
        "first_name": "LORISE",
        "middle_name": "WIEN",
        "name_prefix": "Mrs.",
        "credential": "LCSW, NCPSYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04829600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mahwah, NJ

Sources for this page

Verify at the official NPI Registry.