Krys Fitzgerald, MSW, LCSW

Individual provider Active NPI Clinical Social Worker · Bayville, NJ

NPI 1265975593 · NPPES record last updated Feb 15, 2019

Key facts

NPI
1265975593
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
44SC05843900 (NJ)
Practice address
160 Route 9
Bayville, NJ 08721-1229
Phone
(732) 349-1977
Fax
(732) 269-4856
NPI assigned
Nov 17, 2016
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare Care Compare profile

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

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
44SC05843900NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Calming Waves Counseling LLC Current
since May 15, 2020
Accepting new patients
Ocean Mental Health Services Inc Current
since 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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05843900 NJ Yes

Addresses

Primary practice location

160 Route 9
Bayville, NJ 08721-1229

Mailing address

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

Other providers in Bayville, NJ

All providers in Bayville, NJ · Clinical Social Worker in New Jersey

Sources for this page

Verify at the official NPI Registry.