Mary Margaret Brereton, LCSW
Social Worker, Clinical in Cranford, NJ. Individual provider (NPI-1).
NPI number1457579948
StatusActive
Last updated in NPPESMay 31, 2013
Details
- NPI
- 1457579948
- Entity type
- Individual (NPI-1)
- Name
- Mary Margaret Brereton
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 23, 2007
- Last updated
- May 31, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 44SC05382800 | NJ | Yes |
| 1041C0700X | Social Worker, Clinical | 077219-1 | NY |
Practice location
113 Lincoln Ave ECranford, NJ 07016-2820
Phone 973-580-5653
Mailing address
113 Lincoln Ave ECranford, NJ 07016-2820
Phone 973-580-5653
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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