Individual provider Active NPI

Pamela J Farrell, LCSW

  • Clinical Social Worker
  • Flemington, NJ
National Provider Identifier
1780873588
Registry record updated Jun 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05338600 Issued in NJ
Practice address
62 Cherryville Hollow Road
Flemington, NJ 08822
Phone
(908) 246-1448
Fax
(908) 284-9879
NPI assigned
Oct 17, 2007
Last updated
Jun 21, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2011

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 44SC05338600 NJ Primary

Addresses

Primary practice location

62 Cherryville Hollow Road
Flemington, NJ 08822

Mailing address

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

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
I20120404000135 NJ Practitioner - Clinical Social Worker 5193985893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05338600NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pamela Farrell LCSW Psychotherapy LLC Clinical CurrentSince Jan 29, 2012 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308614400000",
    "number": "1780873588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 CHERRYVILLE HOLLOW ROAD",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "08822",
            "telephone_number": "908-246-1448",
            "fax_number": "908-284-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 CHERRYVILLE HOLLOW ROAD",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "08822",
            "telephone_number": "908-246-1448",
            "fax_number": "908-284-9879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "PAMELA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-17",
        "last_updated": "2011-06-21",
        "status": "A"
    },
    "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

Verify at the official NPI Registry.