Individual provider Active NPI

Marcel Redfearn, LCSW, LCADC

  • Clinical Social Worker
  • Parsippany, NJ
National Provider Identifier
1689294225
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05893400 Issued in NJ
Practice address
181 New Rd Ste 304
Parsippany, NJ 07054-5625
Phone
(862) 258-5112
NPI assigned
Apr 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05893400 NJ Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00274800 NJ

Addresses

Primary practice location

181 New Rd Ste 304
Parsippany, NJ 07054-5625

Mailing address

101 Stedwick Dr
Budd Lake, NJ 07828-3739
Phone (862) 258-5112

Other practice location 1

101 Stedwick Dr
Budd Lake, NJ 07828-3739
Phone (862) 258-5112

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37LC00274800NJMDAddiction (Substance Use Disorder) Counselor
44SC05893400NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1689294225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 STEDWICK DR",
            "city": "BUDD LAKE",
            "state": "NJ",
            "postal_code": "078283739",
            "telephone_number": "862-258-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 NEW RD STE 304",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070545625",
            "telephone_number": "862-258-5112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Stedwick Dr",
            "address_purpose": "LOCATION",
            "city": "Budd Lake",
            "state": "NJ",
            "postal_code": "078283739",
            "country_code": "US",
            "telephone_number": "862-258-5112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDFEARN",
        "first_name": "MARCEL",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-23",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05893400",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00274800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsippany, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; 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.