Individual provider Active NPI

Barbara W Hale

  • Clinical Social Worker
  • Kinnelon, NJ
National Provider Identifier
1801580295
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04575500 Issued in NJ
Practice address
37 Fayson Lake Rd
Kinnelon, NJ 07405-3131
Phone
(973) 809-7877
NPI assigned
Jun 7, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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 44SC04575500 NJ Primary

Addresses

Primary practice location

37 Fayson Lake Rd
Kinnelon, NJ 07405-3131

Mailing address

37 Fayson Lake Rd
Kinnelon, NJ 07405-3131
Phone (973) 970-3088

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
I20230706001315 NJ Practitioner - Clinical Social Worker 8224497490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vicki Barnett Psy D PCGroup PAC ID 4183645575, 15 clinicians

Practice addresses (Care Compare)

266 S Orange Ave
New Community Extended Care
Newark, NJ 07103-2457
Phone (973) 624-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC04575500NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Vicki Barnett Psy D PC CurrentSince May 1, 2023 Accepting new patients

Locations

525 Monmouth St
Jersey City, NJ 07302
Phone (201) 653-8800

266 S Orange Ave
Newark, NJ 07103
Phone (973) 624-2020

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1801580295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 FAYSON LAKE RD",
            "city": "KINNELON",
            "state": "NJ",
            "postal_code": "074053131",
            "telephone_number": "973-970-3088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 FAYSON LAKE RD",
            "city": "KINNELON",
            "state": "NJ",
            "postal_code": "074053131",
            "telephone_number": "973-809-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "BARBARA",
        "middle_name": "W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04575500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kinnelon, NJ

Sources for this page

Verify at the official NPI Registry.