Active NPI
Moriah Irene Frailey, LCSW
- Clinical Social Worker
- Passaic, NJ
National Provider Identifier
1386375004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW022133
- Practice address
- 85 Crescent Ave
Passaic, NJ 07055-2437 - Phone
- (973) 264-0023
- Fax
- (973) 264-0022
- NPI assigned
- Jun 22, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW022133 | PA | Primary |
Addresses
Primary practice location
85 Crescent Ave
Passaic, NJ 07055-2437
Mailing address
26 S Broad St Apt S4
Nazareth, PA 18064-2117
Phone (484) 788-3236
Other names 1
- Moriah Irene Harms
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW022133 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
| Senior Care Therapy of Pennsylvania, P.C. | Clinical | Current | Accepting new patients |
Locations
2719 Hollywood Blvd
Hollywood, FL 33020
Phone (954) 354-2555
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177
815 Chester Pike
Prospect Park, PA 19076
Phone (610) 586-6262
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.
-
- Clinical Social Worker
- Prospect Park, PA
- NPI 1003320672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681344000000",
"number": "1386375004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 S BROAD ST APT S4",
"city": "NAZARETH",
"state": "PA",
"postal_code": "180642117",
"telephone_number": "484-788-3236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 CRESCENT AVE",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070552437",
"telephone_number": "973-264-0023",
"fax_number": "973-264-0022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAILEY",
"first_name": "MORIAH",
"middle_name": "IRENE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-22",
"last_updated": "2023-04-13",
"certification_date": "2023-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW022133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MORIAH",
"last_name": "HARMS",
"middle_name": "IRENE",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Passaic, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.