Active NPIIndividual providerSole proprietor

Mr. Edward R Faulkner, LSW

Social Worker in Wall Township, New Jersey

NPI Number1790936599
Practice location
1985 State Route 34 Ste A3, Wall Township, NJ 07719-9101
Fax
215-554-6966
Last updated
November 29, 2022

Edward Randall Faulkner is a Social Worker based in Wall Township, NJ. Edward Randall Faulkner practices in Wall Township, NJ and has the professional credentials of LSW. The NPI Number for Edward Randall Faulkner is 1790936599 and holds a License No. SW126856 (PA). The current practice location address for Edward Randall Faulkner is 1985 State Route 34 Ste A3, Wall Township, NJ 07719-9101 and can be reached out via phone at 215-817-7372 and via fax at 215-554-6966.

Provider Profile Details

NPI Number
1790936599
Provider Name
Edward Randall Faulkner
Credential
LSW
Provider Entity Type
Individual
Gender
Male
Address
1985 State Route 34 Ste A3, Wall Township, NJ 07719-9101
Phone Number
215-817-7372
Fax Number
215-554-6966
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
Yes
Provider Enumeration Date
October 10, 2008
Last Update Date
November 29, 2022
Certification Date
November 29, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
1985 State Route 34 Ste A3
Wall Township, NJ 07719-9101
Zip
07719-9101
Phone Number
215-817-7372
Fax Number
215-554-6966
Wall Township, NJ 07719Get directions →

Provider Business Mailing Address Details

Address
404 Grassmere Ave
Interlaken, NJ 07712-4313
City
Interlaken
State
NJ
Zip
07712-4313
Phone Number
215-817-7372
Fax Number
215-554-6966

License Information

License Number (1)
SW126856
License State (1)
PA
Taxonomy (1)
Social Worker · 104100000X
License Number (2)
44SC05919000
License State (2)
NJ
Taxonomy (2)
Social Worker · 104100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Edward R Faulkner, LSW?

The NPI number of Mr. Edward R Faulkner, LSW is 1790936599. It was assigned on October 10, 2008 and is currently active in the NPPES registry.

What is the specialty of Mr. Edward R Faulkner, LSW?

Mr. Edward R Faulkner, LSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in PA under license number SW126856.

Where does Mr. Edward R Faulkner, LSW practice?

The practice location is 1985 State Route 34 Ste A3, Wall Township, NJ 07719-9101. The office can be reached at 215-817-7372 (phone) or 215-554-6966 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790936599 directly on the NPPES registry website.

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