Lisa Fedder, MSW, LCSW, LCADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC04709400 Issued in NJ

Practice address

560 Sylvan Ave
U.S. Executive Center 3Rd Floor Suite 11
Englewood Cliffs, NJ 07632-3119

Phone

(201) 875-5699

Fax

(201) 875-5448

NPI assigned

Feb 11, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19365/brand/1/csg/1/fhir/r4

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.

• Core Counseling

  • Clinical Social Worker
  • Englewood Cliffs, NJ
  • NPI 1871911529

  Addiction (Substance Use Disorder)

  NPD Authorized official
• Core Counseling of North Jersey, LLC

  • Clinical Social Worker
  • Englewood, NJ
  • NPI 1295371243
  NPD Authorized official
• Neurocognitive Health Associates

  • Clinical Neuropsychologist
  • Englewood, NJ
  • NPI 1972997187
  NPD (past)

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

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392076800000",
    "number": "1477977411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 SYLVAN AVE",
            "address_2": "U.S. EXECUTIVE CENTER 3RD FLOOR SUITE 11",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076323119",
            "telephone_number": "201-875-5699",
            "fax_number": "201-875-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 SYLVAN AVE",
            "address_2": "U.S. EXECUTIVE CENTER 3RD FLOOR SUITE 11",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076323119",
            "telephone_number": "201-875-5699",
            "fax_number": "201-875-5448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDDER",
        "first_name": "LISA",
        "credential": "MSW, LCSW, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-11",
        "last_updated": "2014-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00081100",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04709400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• F & D Medical, LLC
• Farkas Plastic Surgery, PC
• Jordan Phillip Farkas, MD
• Patricia A Farrell, PHD
• Anthony Fasciano, D.M.D.
• Maria Adriana Fernandez
• Cheryl Fields, DO
• Valerie G Finkel, LCSW
• Marc Anthony Fiorillo, M.D.
• Fittdme Inc

• Clinical Social Worker in Englewood Cliffs, NJ
• Providers in Englewood Cliffs, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.