Chelsea Linda Bernal, LCSW, LCADC
Individual provider Active NPI Clinical Social Worker · Maywood, NJ
NPI 1609426683 · NPPES record last updated Dec 28, 2021
Key facts
- NPI
- 1609426683
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44SC05900200 (NJ)
- Practice address
- 87 Route 17 North
Maywood, NJ 07607 - Phone
- (551) 996-2000
- NPI assigned
- Sep 12, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hackensack Meridian Health Medical Group - Specialty Care PC
Practice addresses (Care Compare)
87 Rte 17
Maywood, NJ 07607
Phone (551) 996-4450
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.33 of 100
- Quality
- 66.38
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.39
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220514000253 | NJ | Practitioner - Clinical Social Worker | 4082091962 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37LC00331100 | NJ | MD | Addiction (Substance Use Disorder) Counselor |
| 44SC05900200 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current |
Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current |
Accepting new patients | |
| Hackensack Meridian Health Medical Group - Complex Care PC | Past | Accepting new patients |
Locations
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
87 State Rt 17 N
Ste 1118
Maywood, NJ 07607
Phone (551) 996-4450
87 State Rt 17 N
Maywood, NJ 07607
Phone (551) 996-3216
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IHJHBD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37LC00331100 | NJ | |
| Clinical Social Worker | 1041C0700X | 44SC05900200 | NJ | Yes |
Addresses
Primary practice location
87 Route 17 North
Maywood, NJ 07607
Mailing address
87 Route 17 North
Maywood, NJ 07607
Phone (551) 996-4450
Other practice location 1
1255 Crossing Way
Wayne, NJ 07470-4739
Phone (201) 452-2613
Other practice location 2
47 Jefferson St
Oak Ridge, NJ 07438-8958
Phone (201) 452-2613
Other practice location 3
30 Prospect Ave
Hackensack, NJ 07601-1915
Phone (551) 996-2000
Other providers in Maywood, NJ
- Marisa Renee Altamirano
- Ankle & Foot Institute PC
- Kim R. Arrington
- Basel Baghal
- Jaymie A Barette
- Patricia Betty
- Ivan Bilbao-Lavieja
- Anna Blazejowskyj
- Marissa Bocchiaro
- Bonleven Healthcare
All providers in Maywood, NJ · Clinical Social Worker in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.