Individual provider Active NPI

Christina A Farrell, MSW,LCSW

  • Clinical Social Worker
  • Toms River, NJ
National Provider Identifier
1154583516
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05154800 Issued in NJ
Practice address
122 Lien St
Toms River, NJ 08753-6506
Phone
(732) 233-4521
NPI assigned
Jun 26, 2008
Last updated
Sep 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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 44SC05154800 NJ Primary

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

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
I20200930002507 NJ Practitioner - Clinical Social Worker 0446679096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ocean Mental Health Services IncGroup PAC ID 7416943709, 35 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05154800NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Mental Health Services Inc CurrentSince Sep 1, 2020 Accepting new patients
Ocean Mental Health Services Inc. PastSince Sep 13, 2020 Accepting new patients
Lakis Counseling and Wellness L.L.C. Clinical Past Accepting new patients
Ocean Mental Health Services Inc, PastSince Sep 13, 2020 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

Organizations & group practices 4

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": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1154583516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 LIEN ST",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087536506",
            "telephone_number": "732-233-4521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 LIEN ST",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087536506",
            "telephone_number": "732-233-4521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "CHRISTINA",
        "middle_name": "A",
        "credential": "MSW,LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05154800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.