Individual provider Active NPI

Kieran R Ayre, LCSW, LCADC

  • Clinical Social Worker
  • Morristown, NJ
National Provider Identifier
1962674663
Registry record updated Aug 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04332700 Issued in NJ
Practice address
58 Maple Ave Ste 2R
Morristown, NJ 07960-5276
Phone
(973) 670-3123
Fax
(973) 210-9141
NPI assigned
Apr 2, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00017800 NJ
Clinical Social Worker 1041C0700X 44SC04332700 NJ Primary

Addresses

Primary practice location

58 Maple Ave Ste 2R
Morristown, NJ 07960-5276

Mailing address

58 Maple Ave Ste 2R
Morristown, NJ 07960-5276
Phone (973) 670-3123

Other practice location 1

1 Madison Ave
Suite 305
Morristown, NJ 07960-6009
Phone (973) 670-3123

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
37LC00017800NJMDAddiction (Substance Use Disorder) Counselor
44SC04332700NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597363200000",
    "number": "1962674663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 MAPLE AVE STE 2R",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079605276",
            "telephone_number": "973-670-3123",
            "fax_number": "973-210-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 MAPLE AVE STE 2R",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079605276",
            "telephone_number": "973-670-3123",
            "fax_number": "973-210-9141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Madison Ave",
            "address_2": "Suite 305",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "NJ",
            "postal_code": "079606009",
            "country_code": "US",
            "telephone_number": "973-670-3123",
            "fax_number": "973-267-3444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYRE",
        "first_name": "KIERAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-02",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00017800",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04332700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.