Individual provider Active NPI

Maria Florentino

  • Clinical Social Worker
  • Jersey City, NJ
National Provider Identifier
1891422135
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
081875 Issued in NY
Practice address
111 Garrison Ave
Jersey City, NJ 07306-5447
Phone
(917) 846-7395
NPI assigned
Aug 5, 2022
Last updated
Aug 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 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 WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 081875 NY Primary

Addresses

Primary practice location

111 Garrison Ave
Jersey City, NJ 07306-5447

Mailing address

111 Garrison Ave
Jersey City, NJ 07306-5447
Phone (917) 846-7395

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Betterhelp.com Direct Better Help Family Community Center, LLC

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
081875NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1891422135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 GARRISON AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073065447",
            "telephone_number": "917-846-7395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 GARRISON AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073065447",
            "telephone_number": "917-846-7395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORENTINO",
        "first_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-05",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "081875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Betterhelp.com",
            "affiliation": "Y",
            "affiliationName": "Better Help Family Community Center, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8902 N Dale Mabry Hwy Ste 102",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336141579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.