Active NPI
Marie G Scodari, LCSW
- Clinical Social Worker
- Somerville, NJ
National Provider Identifier
1912110214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SC02732
- Practice address
- 285 East Main St
Somerville, NJ 08876 - Phone
- (908) 707-0212
- Fax
- (908) 707-8498
- NPI assigned
- May 7, 2007
- Sex
- Female
- Sole proprietor
- No
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 | SC02732 | NJ | Primary |
Addresses
Primary practice location
285 East Main St
Somerville, NJ 08876
Mailing address
285 E Main St
Somerville, NJ 08876
Phone (908) 707-0212
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC02732 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inner Light Counseling and Holistic Center | Past | Accepting new patients | |
| Inner Light Counseling | Past | Accepting new patients | |
| Stacey Nicholas LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Professional Counselor
- Somerville, NJ
- NPI 1720383821
-
- Community/Behavioral Health Agency
- Somerville, NJ
- NPI 1881953164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912110214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "285 E MAIN ST",
"city": "SOMERVILLE",
"state": "NJ",
"postal_code": "08876",
"telephone_number": "908-707-0212",
"fax_number": "908-707-8498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 EAST MAIN ST",
"city": "SOMERVILLE",
"state": "NJ",
"postal_code": "08876",
"telephone_number": "908-707-0212",
"fax_number": "908-707-8498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCODARI",
"first_name": "MARIE",
"middle_name": "G",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "SC02732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Somerville, 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.