Active NPIIndividual provider

Marisa M Douglas

Social Worker in Woodbury, New Jersey

NPI Number1811696719
Practice location
1 Lupton Ave, Woodbury, NJ 08096-5901
Fax
—
Last updated
November 16, 2024

Marisa Mae Douglas is a Social Worker based in Woodbury, NJ. Marisa Mae Douglas practices in Woodbury, NJ. The NPI Number for Marisa Mae Douglas is 1811696719 and holds a License No. 44SL06735600 (NJ). The current practice location address for Marisa Mae Douglas is 1 Lupton Ave, Woodbury, NJ 08096-5901 and can be reached out via phone at 856-693-5775.

Provider Profile Details

NPI Number
1811696719
Provider Name
Marisa Mae Douglas
Provider Entity Type
Individual
Gender
Female
Address
1 Lupton Ave, Woodbury, NJ 08096-5901
Phone Number
856-693-5775
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
No
Provider Enumeration Date
February 28, 2023
Last Update Date
November 16, 2024
Certification Date
November 16, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Lupton Ave
Woodbury, NJ 08096-5901
Zip
08096-5901
Phone Number
856-693-5775
Woodbury, NJ 08096Get directions →

Provider Business Mailing Address Details

Address
1 Lupton Ave
Woodbury, NJ 08096-5901
City
Woodbury
State
NJ
Zip
08096-5901
Phone Number
856-693-5775

License Information

License Number
44SL06735600
License State
NJ
Taxonomy
Social Worker · 104100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Marisa M Douglas?

The NPI number of Marisa M Douglas is 1811696719. It was assigned on February 28, 2023 and is currently active in the NPPES registry.

What is the specialty of Marisa M Douglas?

Marisa M Douglas is registered under the primary taxonomy Social Worker (code 104100000X), licensed in NJ under license number 44SL06735600.

Where does Marisa M Douglas practice?

The practice location is 1 Lupton Ave, Woodbury, NJ 08096-5901. The office can be reached at 856-693-5775 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1811696719 directly on the NPPES registry website.

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