Mary Bush Lascari, M.S.W.

Individual provider Active NPI Clinical Social Worker · Dunellen, NJ

NPI 1992726558 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1992726558
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
44SC00447200 (NJ)
Practice address
216 N Washington Ave
Suite 2
Dunellen, NJ 08812-1246
Phone
(732) 563-4777
Fax
(732) 563-4777
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
Yes

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

216 N Washington Ave
Suite 3
Dunellen, NJ 08812-1246
Phone (732) 563-4777

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20180524000512 NJ Practitioner - Clinical Social Worker 7315207966 Practice locations: Dunellen, NJ

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
44SC00447200NJMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC00447200 NJ Yes

Addresses

Primary practice location

216 N Washington Ave
Suite 2
Dunellen, NJ 08812-1246

Mailing address

216 N Washington Ave
Suite 2
Dunellen, NJ 08812-1246
Phone (732) 563-4777

Other identifiers

IdentifierTypeStateIssuer
37FI00082300OtherNJLIC. MARRIAGE AND FAMILY
44SC00447200OtherNJLIC. CLINICAL SOCIAL WORK

Other providers in Dunellen, NJ

All providers in Dunellen, NJ · Clinical Social Worker in New Jersey

Sources for this page

Verify at the official NPI Registry.