Christina A Farrell, MSW,LCSW
Individual provider Active NPI Clinical Social Worker · Toms River, NJ
NPI 1154583516 · NPPES record last updated Sep 11, 2020
Key facts
- NPI
- 1154583516
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44SC05154800 (NJ)
- Practice address
- 122 Lien St
Toms River, NJ 08753-6506 - Phone
- (732) 233-4521
- NPI assigned
- Jun 26, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ocean Mental Health Services Inc
Practice addresses (Care Compare)
160 Route 9
Bayville, NJ 08721-1229
Phone 7323491977128
40 Bey Lea Rd
BLDG a
Toms River, NJ 08753-2989
Phone 7323495550128
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200930002507 | NJ | Practitioner - Clinical Social Worker | 0446679096 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ocean Mental Health Services Inc | Current |
Accepting new patients | |
| Lakis Counseling and Wellness L.L.C. | Clinical | Past | Accepting new patients |
| Ocean Mental Health Services Inc, | Past |
Accepting new patients | |
| Ocean Mental Health Services Inc. | Past |
Accepting new patients |
Locations
160 US Highway 9
Bayville, NJ 08721
Phone (732) 349-1977
687 Route 9
Bayville, NJ 08721
Phone (732) 269-4849
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05154800 | NJ | Yes |
Addresses
Primary practice location
122 Lien St
Toms River, NJ 08753-6506
Mailing address
122 Lien St
Toms River, NJ 08753-6506
Phone (732) 233-4521
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0032476 | Medicaid | NJ |
Other providers in Toms River, NJ
- Dalia Farag-Mikhail
- Klara Farkas
- Yehuda Farkas
- Cassandra Farnung
- Charles W Farrell
- Michanya Faulk
- Steven Vincent Faust
- Favice Global Healthcare Services LLC
- Alison Nicole Fearon
- Joseph Feaster
All providers in Toms River, NJ · Clinical Social Worker in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.