Individual provider Active NPI

Penelope Mauer, L.C.S.W.

  • Clinical Social Worker
  • Hamilton, NJ
National Provider Identifier
1861799660
Registry record updated Feb 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05284400 Issued in NJ
Practice address
3705 Quakerbridge Rd
Suite 214
Hamilton, NJ 08619-1288
Phone
(267) 799-3782
Fax
(609) 838-2114
NPI assigned
Feb 15, 2011
Last updated
Feb 15, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2011

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 44SC05284400 NJ Primary

Addresses

Primary practice location

3705 Quakerbridge Rd
Suite 214
Hamilton, NJ 08619-1288

Mailing address

3705 Quakerbridge Rd
Suite 214
Hamilton, NJ 08619-1288
Phone (267) 799-3782

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SC05284400NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297728000000",
    "number": "1861799660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 QUAKERBRIDGE RD",
            "address_2": "SUITE 214",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086191288",
            "telephone_number": "267-799-3782",
            "fax_number": "609-838-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 QUAKERBRIDGE RD",
            "address_2": "SUITE 214",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086191288",
            "telephone_number": "267-799-3782",
            "fax_number": "609-838-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUER",
        "first_name": "PENELOPE",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-15",
        "last_updated": "2011-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05284400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; 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.