Maya C Quinn, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05418100 Issued in NJ

Practice address

654 Springfield Ave
Suite 2
Berkeley Heights, NJ 07922-1078

Phone

(908) 930-9185

Fax

(908) 505-3622

NPI assigned

Jan 8, 2009

Last updated

Jan 12, 2018By the provider in NPPES

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

Other names 1

• Maya C Berhan Former name

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

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Senior Care Therapy LLCGroup PAC ID 0547335366, 140 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Senior Care Therapy LLC

  • Clinical Psychologist
  • Passaic, NJ
  • NPI 1285898098
  Medicare reassignment Care Compare group NPD
• Brighter Future Therapy, LLC

  • Clinical Social Worker
  • Berkeley Heights, NJ
  • NPI 1407258205
  NPD (past)

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515715200000",
    "number": "1891932133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 SPRINGFIELD AVE",
            "address_2": "SUITE 2",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079221078",
            "telephone_number": "908-930-9185",
            "fax_number": "908-505-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 SPRINGFIELD AVE",
            "address_2": "SUITE 2",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079221078",
            "telephone_number": "908-930-9185",
            "fax_number": "908-505-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINN",
        "first_name": "MAYA",
        "middle_name": "C",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-08",
        "last_updated": "2018-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05418100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAYA",
            "last_name": "BERHAN",
            "middle_name": "C",
            "credential": "MSW, LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Allen S Prober, MD
• Annunziata Pugliese, D.M.D.
• Michelle J. Pugliese, MA, LPC
• Fang Qian, M.D.
• Gary Lawrence Quartello, DPM
• Noni Ravneet Rana, MD
• Sana Rashid
• John Rasla, DO
• Sheena Rastogi
• Steven M Raymond, DC

• Clinical Social Worker in Berkeley Heights, NJ
• Providers in Berkeley Heights, 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 Jan 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.