Individual provider Active NPI

Marilyn B Gresh, LCSW

  • Clinical Social Worker
  • Lanoka Harbor, NJ
National Provider Identifier
1942464938
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05412900 Issued in NJ
Practice address
500 Main St
Lanlac BLDG 1 - Suite 4 - 2ND Floor
Lanoka Harbor, NJ 08734-2228
Phone
(609) 242-4061
Fax
(609) 693-2789
NPI assigned
Jul 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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 44SC05412900 NJ Primary

Addresses

Primary practice location

500 Main St
Lanlac BLDG 1 - Suite 4 - 2ND Floor
Lanoka Harbor, NJ 08734-2228

Mailing address

PO Box 537
Lanoka Harbor, NJ 08734-0537
Phone (609) 242-4061

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
I20100406000508 NJ Practitioner - Clinical Social Worker 4284760992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

500 US Hwy 9
Lanoka Harbor, NJ 08734-2228
Phone (609) 242-4061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05412900NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Marilyn Gresh MSW LCSW LLC Clinical CurrentSince May 22, 2012 Accepting new patients

Locations

500 Main St
Ste 1
Lanoka Harbor, NJ 08734
Phone (609) 242-4061

500 Main St
Ste 4
Lanoka Harbor, NJ 08734
Phone (609) 242-4061

Organizations & group practices 1

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": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353974400000",
    "number": "1942464938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 537",
            "city": "LANOKA HARBOR",
            "state": "NJ",
            "postal_code": "087340537",
            "telephone_number": "609-242-4061",
            "fax_number": "609-693-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MAIN ST",
            "address_2": "LANLAC BLDG 1 - SUITE 4 - 2ND FLOOR",
            "city": "LANOKA HARBOR",
            "state": "NJ",
            "postal_code": "087342228",
            "telephone_number": "609-242-4061",
            "fax_number": "609-693-2789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRESH",
        "first_name": "MARILYN",
        "middle_name": "B",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-18",
        "last_updated": "2012-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05412900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanoka Harbor, NJ

Sources for this page

Verify at the official NPI Registry.