Active NPI
Felicia R. Neubauer, M.S.W.,L.C.S.W.,L.L.C.
- Clinical Social Worker
- Medford, NJ
National Provider Identifier
1306236401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC4536100
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 DirectoryLocations
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.