Andrea M. Caudle, LCSW
Individual provider Active NPI Clinical Social Worker · Millburn, NJ
NPI 1962490706 · NPPES record last updated Jan 28, 2008
Key facts
- NPI
- 1962490706
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44SC00486800 (NJ)
- Practice address
- 161 Myrtle Ave
Millburn, NJ 07041-1550 - Phone
- (973) 379-5646
- NPI assigned
- Oct 6, 2005
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
161 Myrtle Ave
Millburn, NJ 07041-1550
Phone (973) 379-5646
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050504000386 | NJ | Practitioner - Clinical Social Worker | 7719927219 | Practice locations: Millburn, NJ |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC00486800 | NJ | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Clinical Social Worker | 1041C0700X | 44SC00486800 | NJ | Yes |
Addresses
Primary practice location
161 Myrtle Ave
Millburn, NJ 07041-1550
Mailing address
161 Myrtle Ave
Millburn, NJ 07041-1550
Phone (973) 379-5646
Other providers in Millburn, NJ
- Edward Burak
- David Cancell
- Mark Caplan
- Cardiovascular Consulting Group
- Meredith Carleton
- Center for Advanced Imaging LLC
- Center for Advanced Sports Medicine, Knee and Shoulder, LLC
- Robert H Charney
- Tandeep K Cheema
- Sitong Chen
All providers in Millburn, NJ · Clinical Social Worker in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.