MEDICARE: DANIEL MARAIN LSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	44SL07197000	NJ

General Provider Information

NPI Number	:	1144158122
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL MARAIN LSW

Provider Business Mailing Address
First Line	:	24 GATES AVE
Second Line	:
City	:	MONTCLAIR
State	:	NJ
Zip	:	07042-3302
Country	:	US
Telephone Number	:	201-396-3784
Fax Number	:

Provider Business Practice Location Address
First Line	:	24 GATES AVE
Second Line	:
City	:	MONTCLAIR
State	:	NJ
Zip	:	07042-3302
Country	:	US
Telephone Number	:	201-396-3784
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2026
Last Update Date	:	05/11/2026

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Directions to “ DANIEL MARAIN LSW” Practice Location

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