Individual provider Active NPI

Maria Del Carmen Nakhleh, LCSW

  • Clinical Social Worker
  • Red Bank, NJ
National Provider Identifier
1932290616
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05520700 Issued in NJ
Practice address
214 Broad St Ste 2
Red Bank, NJ 07701-2027
Phone
(732) 784-3176
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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 44SC05520700 NJ Primary

Addresses

Primary practice location

214 Broad St Ste 2
Red Bank, NJ 07701-2027

Mailing address

214 Broad St Ste 2
Red Bank, NJ 07701-2027
Phone (732) 784-3176

Other practice location 1

157 Broad St Ste 202
Red Bank, NJ 07701-2030
Phone (732) 784-3176

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
44SC05520700NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
HBH Counseling, LLC Past Accepting new patients
Managing Emotions Clinical Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1932290616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 BROAD ST STE 2",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012027",
            "telephone_number": "732-784-3176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 BROAD ST STE 2",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012027",
            "telephone_number": "732-784-3176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "157 Broad St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Red Bank",
            "state": "NJ",
            "postal_code": "077012030",
            "country_code": "US",
            "telephone_number": "732-784-3176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAKHLEH",
        "first_name": "MARIA",
        "middle_name": "DEL CARMEN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05520700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; 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.