Individual provider Active NPI

Judy Firsichbaum, MSW,LCSW,LCADC

  • Clinical Social Worker
  • Brick, NJ
National Provider Identifier
1437214020
Registry record updated Jan 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04538800 Issued in NJ
Practice address
1451 Route 88
4A
Brick, NJ 08724-2371
Phone
(732) 785-2744
Fax
(732) 785-3324
NPI assigned
Dec 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00066900 NJ
Clinical Social Worker 1041C0700X 44SC04538800 NJ Primary

Addresses

Primary practice location

1451 Route 88
4A
Brick, NJ 08724-2371

Mailing address

1451 Route 88
4A
Brick, NJ 08724-2371
Phone (732) 785-2744

Other names 1

  • Judy Carpentier Professional name

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
I20050427000065 NJ Practitioner - Clinical Social Worker 7113966433 Reassigns benefits to 1 organization
Practice locations: Howell, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12 Weymouth Dr
Howell, NJ 07731-1574
Phone (732) 836-8466

PO Box
Suite 209
Howell, NJ 07731-0209

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37LC00066900NJMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Counseling Center of Brick, LLC. Clinical CurrentSince Mar 3, 2018 Accepting new patients

Locations

1451 Route 88 W
Ste 4A
Brick, NJ 08724
Phone (732) 785-2744

4170 Route 9
Unit 209
Howell, NJ 07731

Organizations & group practices 1

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": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359072000000",
    "number": "1437214020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 ROUTE 88",
            "address_2": "4A",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087242371",
            "telephone_number": "732-785-2744",
            "fax_number": "732-785-3324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 ROUTE 88",
            "address_2": "4A",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087242371",
            "telephone_number": "732-785-2744",
            "fax_number": "732-785-3324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIRSICHBAUM",
        "first_name": "JUDY",
        "name_prefix": "Ms.",
        "credential": "MSW,LCSW,LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2013-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00066900",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04538800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDY",
            "last_name": "CARPENTIER",
            "credential": "MSW,LCSW,LCADC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.