Christine E Fiorello, LCSW

Individual provider Active NPI Clinical Social Worker · Oakland, NJ

NPI 1053449264 · NPPES record last updated Apr 26, 2016

Key facts

NPI
1053449264
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
44SC05208200 (NJ)
Practice address
169 Ramapo Valley Rd
Lbby 7
Oakland, NJ 07436-2532
Phone
(201) 796-5151
Fax
(201) 794-8399
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

227 Hamburg Tpke
Suite 2
Pompton Lakes, NJ 07442-1838
Phone (201) 873-8849

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
I20040323001262 NJ Practitioner - Clinical Social Worker 8921999459 Practice locations: Pompton Lakes, NJ

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
44SC05208200NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family & Children'S Services of Northern New Jersey, Inc. Clinical Past
since Apr 30, 2018
Accepting new patients
Jewish Family Service of North Jersey, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05208200 NJ Yes

Addresses

Primary practice location

169 Ramapo Valley Rd
Lbby 7
Oakland, NJ 07436-2532

Mailing address

169 Ramapo Valley Rd
Lbby 7
Oakland, NJ 07436-2532
Phone (973) 595-0111

Other providers in Oakland, NJ

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

Sources for this page

Verify at the official NPI Registry.