Ann Marie Wallace Frick, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC01031300 Issued in NJ

Practice address

603 Woodfield Rd
Wyckoff, NJ 07481-1422

Phone

(844) 888-0355

NPI assigned

Oct 4, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Ann Wallace Frick

  • Clinical Social Worker
  • Wyckoff, NJ
  • NPI 1235776907
  Medicare reassignment NPD
• Wellqor Psychological Services Northeast, PC

  • Clinical Psychologist
  • Highland Park, NJ
  • NPI 1326442567
  Medicare reassignment NPD

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1669922514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 WOODFIELD RD",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074811422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 WOODFIELD RD",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074811422",
            "telephone_number": "844-888-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE FRICK",
        "first_name": "ANN",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-04",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC01031300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly Antoine Viglione, LCSW
• Viox Transportation Corp
• Vaibhav H Vyas
• Walgreen Co
• Walgreen Eastern Co, Inc
• Joan Kathryn Walpole
• Keri Maureen Walsh, LSW
• Walter J Kent DDS PA
• Lawrence E. Weiner, D.M.D.
• Mary Catherine Weiss

• Clinical Social Worker in Wyckoff, NJ
• Providers in Wyckoff, 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 Dec 27, 2019; 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.