Individual provider Active NPI

Christine E Fiorello, LCSW

  • Clinical Social Worker
  • Oakland, NJ
National Provider Identifier
1053449264
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05208200 Issued in 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
Last updated
Apr 26, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

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

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040323001262 NJ Practitioner - Clinical Social Worker 8921999459 Practice locations: Pompton Lakes, NJ

Care Compare profile

Medicare Care Compare
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05208200NJMDClinical Social Worker

Practice roles

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461628800000",
    "number": "1053449264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 RAMAPO VALLEY RD",
            "address_2": "LBBY 7",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074362532",
            "telephone_number": "973-595-0111",
            "fax_number": "973-595-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 RAMAPO VALLEY RD",
            "address_2": "LBBY 7",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074362532",
            "telephone_number": "201-796-5151",
            "fax_number": "201-794-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIORELLO",
        "first_name": "CHRISTINE",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2016-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05208200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, NJ

Sources for this page

Verify at the official NPI Registry.