Individual provider Active NPI

Christabel Eden Foster, LSW

  • Clinical Social Worker
  • Somerville, NJ
National Provider Identifier
1932678026
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SL06188400 Issued in NJ
Practice address
285 E Main St
Somerville, NJ 08876-3005
Phone
(908) 707-0212
Fax
(908) 707-8498
NPI assigned
Nov 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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 44SL06188400 NJ Primary

Addresses

Primary practice location

285 E Main St
Somerville, NJ 08876-3005

Mailing address

285 E Main St
Somerville, NJ 08876-3005
Phone (908) 707-0212

Other names 1

  • Christabel Eden Van Der Veken Former name

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
I20191125001948 NJ Practitioner - Clinical Social Worker 0648603050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stacey Nicholas LLCGroup PAC ID 9931503406, 9 clinicians

Practice addresses (Care Compare)

285 E Main St
Somerville, NJ 08876-3005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL06188400NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Stacey Nicholas LLC Clinical CurrentSince Jun 28, 2021 Accepting new patients

Locations

285 E Main St
Somerville, NJ 08876
Phone (908) 295-2007

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": "1542585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1932678026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 E MAIN ST",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088763005",
            "telephone_number": "908-707-0212",
            "fax_number": "908-707-8498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 E MAIN ST",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088763005",
            "telephone_number": "908-707-0212",
            "fax_number": "908-707-8498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "CHRISTABEL",
        "middle_name": "EDEN",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-19",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL06188400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTABEL",
            "last_name": "VAN DER VEKEN",
            "middle_name": "EDEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Somerville, NJ

Sources for this page

Verify at the official NPI Registry.