Organization Active NPI

Felicia R. Neubauer, M.S.W.,L.C.S.W.,L.L.C.

  • Clinical Social Worker
  • Medford, NJ
National Provider Identifier
1306236401
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC4536100 Issued in NJ
Legal business name
FELICIA R. NEUBAUER, M.S.W.,L.C.S.W.,L.L.C.
Practice address
205 Tuckerton Rd
Suite 207
Medford, NJ 08055-8817
Phone
(856) 596-4062
Fax
(856) 596-4063
NPI assigned
Jan 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Felicia R Neubauer, M.S.W., L.C.S.W.
Title
Owner/Therapist
Phone
(856) 596-4062

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 44SC4536100 NJ Primary

Addresses

Primary practice location

205 Tuckerton Rd
Suite 207
Medford, NJ 08055-8817

Mailing address

205 Tuckerton Rd
Suite 207
Medford, NJ 08055-8817
Phone (856) 596-4062

National Provider Directory

National Provider Directory

Locations

205 Tuckerton Rd
Ste 207
Medford, NJ 08055
Phone (856) 596-4062

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422316800000",
    "number": "1306236401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 TUCKERTON RD",
            "address_2": "SUITE 207",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080558817",
            "telephone_number": "856-596-4062",
            "fax_number": "856-596-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 TUCKERTON RD",
            "address_2": "SUITE 207",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080558817",
            "telephone_number": "856-596-4062",
            "fax_number": "856-596-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELICIA R. NEUBAUER, M.S.W.,L.C.S.W.,L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-27",
        "last_updated": "2015-01-27",
        "status": "A",
        "authorized_official_last_name": "NEUBAUER",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "856-596-4062",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S.W., L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC4536100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.