Organization Active NPI

Pamela Farrell LCSW Psychotherapy LLC

  • Clinical Social Worker
  • Flemington, NJ
National Provider Identifier
1770855041
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05338600 Issued in NJ
Legal business name
PAMELA FARRELL LCSW PSYCHOTHERAPY LLC
Practice address
62 Cherryville Hollow Rd
Flemington, NJ 08822-5528
Phone
(908) 246-1448
Fax
(866) 936-6552
NPI assigned
Feb 2, 2012
Last updated
Sep 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Authorized official

Name
Pamela J Farrell, LCSWNPI 1780873588
Title
Owner
Phone
(908) 246-1448

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05338600 NJ Primary

Addresses

Primary practice location

62 Cherryville Hollow Rd
Flemington, NJ 08822-5528

Mailing address

62 Cherryville Hollow Rd
Flemington, NJ 08822-5528
Phone (908) 246-1448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120404000079 NJ Part B Supplier - Clinic/Group Practice 9931369634 Receives reassigned benefits from 1 practitioner
Practice locations: Flemington, NJ

National Provider Directory

National Provider Directory

Locations

243 N Union St
Ste 201
Lambertville, NJ 08530
Phone (908) 246-1448

5 Washington Dr
Ste 2D
Whitehouse Station, NJ 08889
Phone (732) 357-5922

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1770855041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 CHERRYVILLE HOLLOW RD",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088225528",
            "telephone_number": "908-246-1448",
            "fax_number": "866-936-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 CHERRYVILLE HOLLOW RD",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088225528",
            "telephone_number": "908-246-1448",
            "fax_number": "866-936-6552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA FARRELL LCSW PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-02",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-246-1448",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05338600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flemington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.