Linda Fasano, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05558600 Issued in NJ

Practice address

17-07 Romaine St
Fair Lawn, NJ 07410-2150

Phone

(973) 744-6522

NPI assigned

Aug 11, 2011

Last updated

Apr 22, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• County of Orange

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Port Jervis, NY
  • NPI 1740227214
  Medicare reassignment NPD
• County of Orange

  dba The Valley View Certified Home Health Agency

  • Home Health Agency
  • Goshen, NY
  • NPI 1073016952
  NPD

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

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429660800000",
    "number": "1699054460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17-07 ROMAINE ST",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102150",
            "telephone_number": "973-744-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17-07 ROMAINE ST",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102150",
            "telephone_number": "973-744-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASANO",
        "first_name": "LINDA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-11",
        "last_updated": "2015-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05558600",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "083102",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fairlawn Behavioral Associates LLC
• Fairlawn Pharmacy Limited Liability Company
• Family Dentists, P.a.
• Family Eyecare Associates, PC
• Syeda Saleha Farooqui, MD
• Eric Fass, D.M.D.
• Bruce Wesley Faulkner, PT, DPT
• Kimberly N Favara, PT
• Vincent Federico, ACUPUNCTURIST
• Whitney Michaela Feeley, MSW

• Clinical Social Worker in Fair Lawn, NJ
• Providers in Fair Lawn, 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 Apr 22, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.