Individual provider Active NPI

Marcella Di Fedele, LCSW

  • Clinical Social Worker
  • Red Bank, NJ
National Provider Identifier
1679650113
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00083600 Issued in NJ
Practice address
331 Newman Springs Rd Ste 143
Red Bank, NJ 07701-6767
Phone
(732) 598-1365
Fax
(732) 598-1365
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 44SC00083600 NJ Primary

Addresses

Primary practice location

331 Newman Springs Rd Ste 143
Red Bank, NJ 07701-6767

Mailing address

83 Hwy 537
Colts Neck, NJ 07722-2118
Phone (732) 598-1365

Other practice location 1

931 W Park Ave
Ocean, NJ 07712-7207
Phone (732) 493-8080

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
I20070206000059 NJ Practitioner - Clinical Social Worker 2365444239 Practice locations: Neptune, NJ; Colts Neck, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3600 Route 66
Suite 150
Neptune, NJ 07753-2645
Phone (732) 598-1365

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC00083600NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Directions Counseling Center LLC Current Accepting new patients
Elder Life Management LLC Clinical PastSince Jan 1, 2009 Accepting new patients
Premier Care LLC Dba Elder Life Home Care LLC Past Accepting new patients

Organizations & group practices 3

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1679650113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 HWY 537",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077222118",
            "telephone_number": "732-598-1365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 NEWMAN SPRINGS RD STE 143",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077016767",
            "telephone_number": "732-598-1365",
            "fax_number": "732-598-1365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "931 W Park Ave",
            "address_purpose": "LOCATION",
            "city": "Ocean",
            "state": "NJ",
            "postal_code": "077127207",
            "country_code": "US",
            "telephone_number": "732-493-8080",
            "fax_number": "732-493-8810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DI FEDELE",
        "first_name": "MARCELLA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00083600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

Verify at the official NPI Registry.