Individual provider Active NPI

Alison Winter Fernandez, MSW, LCSW

  • Clinical Social Worker
  • Fair Haven, NJ
National Provider Identifier
1346942448
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06189200 Issued in NJ
Practice address
25 Brookside Ave
Fair Haven, NJ 07704-3524
Phone
(848) 466-0977
NPI assigned
Mar 21, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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 44SC06189200 NJ Primary

Addresses

Primary practice location

25 Brookside Ave
Fair Haven, NJ 07704-3524

Mailing address

25 Brookside Ave
Fair Haven, NJ 07704-3524
Phone (848) 466-0977

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
I20230606001506 NJ Practitioner - Clinical Social Worker 2163889296 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7 Seadrift Ave
Highlands, NJ 07732-1508
Phone (848) 466-0977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC06189200NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alison Winter Fernandez Counseling CurrentSince Apr 16, 2023 Accepting new patients
Senior Care Options, Inc. CurrentSince May 21, 2023 Accepting new patients

Locations

25 W Highland Ave
Atlantic Highlands, NJ 07716
Phone (848) 466-0977

20 Center Ave
Ste 2
Atlantic Hlds, NJ 07716
Phone (732) 872-8882

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.

NPI Registry JSON

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1346942448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BROOKSIDE AVE",
            "city": "FAIR HAVEN",
            "state": "NJ",
            "postal_code": "077043524",
            "telephone_number": "848-466-0977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 BROOKSIDE AVE",
            "city": "FAIR HAVEN",
            "state": "NJ",
            "postal_code": "077043524",
            "telephone_number": "848-466-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "ALISON",
        "middle_name": "WINTER",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-21",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06189200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Haven, NJ

Sources for this page

Verify at the official NPI Registry.