COLLEEN MARIAN MYRIE


Address: 25 Clifton Ave Apt D1812, Newark, NJ 07104-1855
Phone: 9172242691

COLLEEN MARIAN MYRIE (NPI# 1497376388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497376388
Entity Type Individual
Full Name COLLEEN MARIAN MYRIE
Credential LSW
Practice Address 25 Clifton Ave Apt D1812
Newark
NJ 07104-1855
Practice Telephone 9172242691
Mailing Telephone 9172242691
Enumeration Date 2020-05-01
Last Update Date 2020-05-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker 44SL06562900 NJ Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NJ BOARD LICENSE 44SL06562900 01

Office Location

Street Address 25 CLIFTON AVE APT D1812
City NEWARK
State NJ
Zip Code 07104-1855

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538790563 North Ward Medical Arts LLC Internal Medicine 485-491 Mt Prospect Ave, Newark, NJ 07104 2020-01-29
1386149011 Community Options Enterprises, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 504-506 Mount Prospect Ave, Newark, NJ 07104 2018-03-26
1710406293 Bmrr Corporation Durable Medical Equipment & Medical Supplies 664 Mt Prospect Ave, Newark, NJ 07104 2017-09-15
1508390287 The Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 387 Ridge Street, Newark, NJ 07104 2017-04-19
1104280890 North Essex Pediatrics Inc Clinic/Center 644 Mt Prospect Ave, Suite1, Newak, NJ 07104 2016-04-08
1306257076 Sonia Martinez Technician/Technologist 677 Mount Prospect Avenue, Newark, NJ 07104 2014-05-15
1891022612 Sofia Berkovich Internal Medicine 717-727 Broadway, Newark, NJ 07104 2009-11-16
1538302138 Bellazmin Natalie Taylor Physician Assistant 354 Doremus Avenue, Newark, NJ 07104 2009-04-13
1740483502 Clear Vision Optical, Inc. Eyewear Supplier (Equipment, not the service) 677 Mt Prospect Avenue, Newark, NJ 07104 2007-06-08
1083815146 Rafael A Hernandez Pharmacist 794 Mt. Prospect Ave., Newark, NJ 07104 2007-05-29
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Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760097018 Joslainez Gonzalo Social Worker 47 Miller Street, Newark, NJ 07114 2020-09-14
1902410269 Julia Hopkins Social Worker 2644 Capitol Trl Ste 250, Newark, DE 19711-7231 2020-09-03
1942826516 Shondell White Social Worker 1423 Capitol Trail Road, Suite 1302, Newark, DE 19711 2020-06-19
1609499128 Anika Tillery Social Worker 97 Summit Ave, Newark, NJ 07112-1212 2020-05-19
1184262438 The Yearns Organization, LLC Social Worker 897 S 17th St, Newark, NJ 07108-1136 2019-12-17
1528603867 Denise Edwards Social Worker 7b Queens Cir, Newark, DE 19702-9416 2019-11-11
1538679436 Amanda E Gordy Social Worker 262 Chapman Rd Ste 100, Newark, DE 19702-5412 2017-10-05
1659880672 Vanessa Latouche Social Worker 183 S Orange Ave. C-level, Newark, NJ 07101 2017-09-21
1952828964 Stephen Craig Mcdonald Social Worker 15 N 3rd St Ste 200, Newark, OH 43055-5550 2017-08-30
1215450911 Caitlyn Thella Smith Elkins Social Worker 15 N. 3rd St., Newark, OH 43055 2017-07-25
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Competitor

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City NEWARK
Zip Code 07104

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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