Individual provider Active NPI

Colleen Ferenchak, LCSW, LCADC

  • Clinical Social Worker
  • Shrewsbury, NJ
National Provider Identifier
1558060012
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06277800 Issued in NJ
Practice address
39 Avenue at the CMN Ste 102
Shrewsbury, NJ 07702-4590
Phone
(732) 788-6232
NPI assigned
Feb 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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) Psychologist 103TA0400X 37LC00395400 NJ
Clinical Social Worker 1041C0700X 44SC06277800 NJ Primary

Addresses

Primary practice location

39 Avenue at the CMN Ste 102
Shrewsbury, NJ 07702-4590

Mailing address

4 S Holmdel Rd
Holmdel, NJ 07733-2130
Phone (732) 788-6232

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
I20240326003468 NJ Practitioner - Clinical Social Worker 2466899455 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL06670200NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group of New Jersey PC Clinical CurrentSince Jun 12, 2024 Accepting new patients
Salerno Medical Associates, LLC CurrentSince May 1, 2025 Accepting new patients
North Ward Behavioral Health Center LLC CurrentSince Feb 14, 2024 Accepting new patients
Abby Road Psychiatric Services LLC CurrentSince Feb 26, 2023 Accepting new patients

Locations

613 Park Ave
East Orange, NJ 07017
Phone (973) 672-2455

613 Park Ave
Fl 2
East Orange, NJ 07017
Phone (973) 485-6433

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

523 Park Ave
Orange, NJ 07050
Phone (862) 229-1516

7 Hendrickson Ave
Red Bank, NJ 07701
Phone (732) 893-5314

Organizations & group practices 4

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": "1677110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1558060012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 S HOLMDEL RD",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332130",
            "telephone_number": "732-788-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 AVENUE AT THE CMN STE 102",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024590",
            "telephone_number": "732-788-6232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERENCHAK",
        "first_name": "COLLEEN",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-23",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00395400",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06277800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, NJ

Sources for this page

Verify at the official NPI Registry.