Valerie Anne Mitchell Fadil, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1041C0700X Issued in NJ

Practice address

497 Broadway
Suite C
Bayonne, NJ 07002-3710

Phone

(973) 725-0616

Fax

(973) 773-0413

NPI assigned

Nov 15, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053484519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 VALLEY RD",
            "address_2": "# F8",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070134042",
            "telephone_number": "973-725-0616",
            "fax_number": "973-773-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 BROADWAY",
            "address_2": "SUITE C",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023710",
            "telephone_number": "973-725-0616",
            "fax_number": "973-773-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL FADIL",
        "first_name": "VALERIE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "1041C0700X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Milad
• Ronald Kenneth Milan, M.D.
• Jonathan T Mingoia, FNP-C, D.C.
• Vanessa Marie Miranda
• Mohammed Waquas Mirza, MD
• Mitchell J. Mutterperl Mdpa
• Mitchell J. Mutterperl Mdpa
• Cielo S Mojica
• Luis R Moncion Jr.
• Robert L Montalbano, MD

• Clinical Social Worker in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.