Individual provider Active NPI

Allison Farrell, LCSW

  • Clinical Social Worker
  • Marmora, NJ
National Provider Identifier
1083397921
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06239200 Issued in NJ
Practice address
507 Route 9 South
Marmora, NJ 08223
Phone
(609) 840-6034
NPI assigned
Aug 8, 2023
Last updated
Jan 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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 44SC06239200 NJ Primary

Addresses

Primary practice location

507 Route 9 South
Marmora, NJ 08223

Mailing address

121 Tennessee Ave
Villas, NJ 08251-1720

Other practice location 1

1613 Route 47 S Unit G
Rio Grande, NJ 08242-1411
Phone (609) 886-5245

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
I20240122002184 NJ Practitioner - Clinical Social Worker 4082066451 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atlanticare Physician Group PAGroup PAC ID 8527953660, 506 clinicians

Practice addresses (Care Compare)

1613 Route 47
Unit F
Rio Grande, NJ 08242-1411
Phone (609) 407-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group, PA CurrentSince Dec 19, 2023 Accepting new patients
Atlanticare Behavioral Health, Inc. CurrentSince Sep 14, 2024 Accepting new patients
Atlanticare Physician Group PA CurrentSince Dec 19, 2023 Accepting new patients
Atlanticare Behavioral Health, Inc. Current Accepting new patients
Atlanticare Behavioral Health, Inc CurrentSince Sep 14, 2024 Accepting new patients

Locations

13 N Hartford Ave
Atlantic City, NJ 08401
Phone (609) 348-1161

6010 Black Horse Pike
Egg Hbr Twp, NJ 08234
Phone (609) 272-0909

6550 Delilah Rd
Ste 301
Egg Hbr Twp, NJ 08234
Phone (609) 573-1251

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

1613 Route 47 S
Unit F
Rio Grande, NJ 08242
Phone (609) 886-5245

Organizations & group practices 5

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": "1691452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1083397921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 TENNESSEE AVE",
            "city": "VILLAS",
            "state": "NJ",
            "postal_code": "082511720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 ROUTE 9 SOUTH",
            "city": "MARMORA",
            "state": "NJ",
            "postal_code": "08223",
            "telephone_number": "609-840-6034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1613 Route 47 S Unit G",
            "address_purpose": "LOCATION",
            "city": "Rio Grande",
            "state": "NJ",
            "postal_code": "082421411",
            "country_code": "US",
            "telephone_number": "609-886-5245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "ALLISON",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-08",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06239200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marmora, NJ

Sources for this page

Verify at the official NPI Registry.