Individual provider Active NPI

Stella Freid

  • Clinical Social Worker
  • Wayne, NJ
National Provider Identifier
1669907481
Registry record updated Apr 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05492800 Issued in NJ
Practice address
39 Easedale Rd
Wayne, NJ 07470-2484
Phone
(201) 981-0732
NPI assigned
Apr 30, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05492800 NJ Primary

Addresses

Primary practice location

39 Easedale Rd
Wayne, NJ 07470-2484

Mailing address

39 Easedale Rd
Wayne, NJ 07470-2484
Phone (201) 981-0732

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
I20171114003568 NJ Practitioner - Clinical Social Worker 0345506903 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mariam Rothfritz PHD and AssociatesGroup PAC ID 9032502331, 8 clinicians

Practice addresses (Care Compare)

1135 Clifton Ave
Suite 207
Clifton, NJ 07013-3643
Phone (973) 988-4241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05492800NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mariam Rothfritz, PH.D. and Associates CurrentSince Jul 14, 2023 Accepting new patients

Locations

1135 Clifton Ave
Ste 207
Clifton, NJ 07013
Phone (973) 473-5284

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": "1493510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493510400000",
    "number": "1669907481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 EASEDALE RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702484",
            "telephone_number": "201-981-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 EASEDALE RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702484",
            "telephone_number": "201-981-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREID",
        "first_name": "STELLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-30",
        "last_updated": "2017-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05492800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.