Individual provider Active NPI

Marylin Joan Granat, MSW LCSW BCD

  • Clinical Social Worker
  • Teaneck, NJ
National Provider Identifier
1902013568
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00093900 Issued in NJ
Practice address
310 Cedar Lane
1St Floor
Teaneck, NJ 07666
Phone
(201) 712-9520
Fax
(201) 843-2763
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X BCD 27806 NY
Clinical Social Worker 1041C0700X 44SC00093900 NJ Primary
Clinical Social Worker 1041C0700X R0317651 NY

Addresses

Primary practice location

310 Cedar Lane
1St Floor
Teaneck, NJ 07666

Mailing address

310 Cedar Lane
1St Floor
Teaneck, NJ 07666
Phone (201) 712-9520

Other names 1

  • Marylin Schiff Granat Professional name

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
I20050412000979 NJ Practitioner - Clinical Social Worker 3476590357 Practice locations: Teaneck, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

310 Cedar Lane
1St Floor
Teaneck, NJ 07666-3441

310 Cedar LN
Teaneck, NJ 07666-3441
Phone (201) 712-9520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC00093900NJMDClinical Social Worker
BCD 27806NYMDClinical Social Worker
R0317651NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1902013568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 CEDAR LANE",
            "address_2": "1ST FLOOR",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "07666",
            "telephone_number": "201-712-9520",
            "fax_number": "201-843-2763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 CEDAR LANE",
            "address_2": "1ST FLOOR",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "07666",
            "telephone_number": "201-712-9520",
            "fax_number": "201-843-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANAT",
        "first_name": "MARYLIN",
        "middle_name": "JOAN",
        "name_prefix": "Ms.",
        "credential": "MSW LCSW BCD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "BCD 27806",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00093900",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0317651",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARYLIN",
            "last_name": "GRANAT",
            "middle_name": "SCHIFF",
            "credential": "MSW ACSW LCSW BCD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.