Individual provider Active NPI

Krys Fitzgerald, MSW, LCSW

  • Clinical Social Worker
  • Bayville, NJ
National Provider Identifier
1265975593
Registry record updated Feb 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05843900 Issued in NJ
Practice address
160 Route 9
Bayville, NJ 08721-1229
Phone
(732) 349-1977
Fax
(732) 269-4856
NPI assigned
Nov 17, 2016
Last updated
Feb 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2019

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 44SC05843900 NJ Primary

Addresses

Primary practice location

160 Route 9
Bayville, NJ 08721-1229

Mailing address

160 Route 9
Bayville, NJ 08721-1229
Phone (732) 349-1977

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
I20190320002329 NJ Practitioner - Clinical Social Worker 8527308055 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

520 Main St
Toms River, NJ 08753-7420
Phone (609) 607-7661

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05843900NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Calming Waves Counseling LLC CurrentSince May 15, 2020 Accepting new patients
Ocean Mental Health Services Inc CurrentSince Feb 2, 2019 Accepting new patients

Locations

160 US Highway 9
Bayville, NJ 08721
Phone (732) 349-1977

520 Main St
Toms River, NJ 08753
Phone (732) 551-2051

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": "1479340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550188800000",
    "number": "1265975593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 ROUTE 9",
            "city": "BAYVILLE",
            "state": "NJ",
            "postal_code": "087211229",
            "telephone_number": "732-349-1977",
            "fax_number": "732-269-4856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 ROUTE 9",
            "city": "BAYVILLE",
            "state": "NJ",
            "postal_code": "087211229",
            "telephone_number": "732-349-1977",
            "fax_number": "732-269-4856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "KRYS",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-17",
        "last_updated": "2019-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05843900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayville, NJ

Sources for this page

Verify at the official NPI Registry.