Individual provider Active NPI

Araceli Fernandez, LCSW

  • Clinical Social Worker
  • East Brunswick, NJ
National Provider Identifier
1669146353
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06126900 Issued in NJ
Practice address
646 State Route 18 Ste 206
East Brunswick, NJ 08816-3722
Phone
(646) 385-1957
NPI assigned
Aug 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL06498600 NJ
Clinical Social Worker 1041C0700X 44SC06126900 NJ Primary

Addresses

Primary practice location

646 State Route 18 Ste 206
East Brunswick, NJ 08816-3722

Mailing address

646 State Route 18 Building a, Suite 105
East Brunswick, NJ 08816-3722
Phone (732) 705-6552

Other practice location 1

570 Lee St
Perth Amboy, NJ 08861-3053
Phone (732) 442-1666 ext. 6702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL06498600NJMDSocial Worker
44SC06126900NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindset Therapy Clinical Current Accepting new patients
Mindspa Therapy & Counseling LLC Clinical CurrentSince Dec 10, 2023 Accepting new patients

Locations

646 State Route 18
#A105
East Brunswick, NJ 08816
Phone (732) 705-6552

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.

NPI Registry JSON

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1669146353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 STATE ROUTE 18 BUILDING A, SUITE 105",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163722",
            "telephone_number": "732-705-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 STATE ROUTE 18 STE 206",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163722",
            "telephone_number": "646-385-1957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "570 Lee St",
            "address_purpose": "LOCATION",
            "city": "Perth Amboy",
            "state": "NJ",
            "postal_code": "088613053",
            "country_code": "US",
            "telephone_number": "732-442-1666 x6702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "ARACELI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-05",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06498600",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06126900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.