Active NPI
Mary Ann Cernak, PH.D., LCSW
- Clinical Social Worker
- Freehold, NJ
National Provider Identifier
1861694416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC00438600
- Practice address
- 63 W Main St
Suite #2
Freehold, NJ 07728-2140 - Phone
- (732) 367-7128
- NPI assigned
- Jun 5, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC00438600 | NJ | Primary |
Addresses
Primary practice location
63 W Main St
Suite #2
Freehold, NJ 07728-2140
Mailing address
6 Bock Blvd
Howell, NJ 07731-1313
Phone (732) 367-0371
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC00438600 | NJ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861694416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 BOCK BLVD",
"city": "HOWELL",
"state": "NJ",
"postal_code": "077311313",
"telephone_number": "732-367-0371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 W MAIN ST",
"address_2": "SUITE #2",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077282140",
"telephone_number": "732-367-7128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERNAK",
"first_name": "MARY ANN",
"credential": "PH.D., LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC00438600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Freehold, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.