Individual provider Active NPI

Carann S. Feazell, M.S.S.W., L.C.S.W.

  • Clinical Social Worker
  • Cherry Hill, NJ
National Provider Identifier
1992849319
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC01486100 Issued in NJ
Practice address
496 Kings Hwy N
Suite 206
Cherry Hill, NJ 08034-1017
Phone
(856) 755-0800
Fax
(856) 482-5655
NPI assigned
Feb 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 44SC01486100 NJ Primary

Addresses

Primary practice location

496 Kings Hwy N
Suite 206
Cherry Hill, NJ 08034-1017

Mailing address

496 Kings Hwy N
Suite 206
Cherry Hill, NJ 08034-1017
Phone (856) 755-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SC01486100NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1171756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992849319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 KINGS HWY N",
            "address_2": "SUITE 206",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341017",
            "telephone_number": "856-755-0800",
            "fax_number": "856-482-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 KINGS HWY N",
            "address_2": "SUITE 206",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341017",
            "telephone_number": "856-755-0800",
            "fax_number": "856-482-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEAZELL",
        "first_name": "CARANN",
        "middle_name": "S.",
        "name_prefix": "Ms.",
        "credential": "M.S.S.W., L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC01486100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.