MICHELLE FALK L.C.S.W., LCADC
NPI 1194126037
Social Worker - Clinical in Toms River, NJ

Active since September 10, 2014PECOS Enrolled
10 STOCKTON DR, TOMS RIVER, NJ 08755(732) 363-6655 Get Directions Write a Review

NPPES record last updated: March 1, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michelle Falk L.c.s.w., Lcadc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE FALK L.C.S.W., LCADC (NPI 1194126037) is an individual clinical provider in Toms River, New Jersey, licensed in New Jersey (44SC05432300) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194126037
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMICHELLE FALKCredential: L.C.S.W., LCADC
Location Address10 STOCKTON DRToms River, NJ 08755-6433
Mailing AddressPo Box 1188Forked River, NJ 08731-6188
Sole ProprietorNo
Enumeration DateSeptember 10, 2014
Last NPPES UpdateMarch 1, 2022
NPPES CertifiedMarch 1, 2022
✔ NPI 1194126037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NJ · 44SC05432300
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
10 STOCKTON DR, Toms River, NJ 08755

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Falk L.c.s.w., Lcadc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Michelle Falk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
10 STOCKTON DRIVE
Toms River, NJ 08755
  • Reassigned Medicare billing, New Jersey enrollment
  • 130 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08755 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $61.59 – $185.05
Typical copayment $0.00 (range $15.39 – $46.26)
Most-billed visit code NA
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
10 STOCKTON DR
TOMS RIVER, NJ 08755
Social Worker (Clinical)
10 STOCKTON DR
TOMS RIVER, NJ 08755
Dentist (General Practice)
10 STOCKTON DR
TOMS RIVER, NJ 08755
Pharmacy
10 STOCKTON DR
TOMS RIVER, NJ 08755
Obstetrics & Gynecology
10 STOCKTON DR
TOMS RIVER, NJ 08755
Nurse Practitioner (Family)
10 STOCKTON DR
TOMS RIVER, NJ 08755
Nurse Practitioner (Psychiatric/Mental Health)
10 STOCKTON DR
TOMS RIVER, NJ 08755
Physician Assistant
10 STOCKTON DR
TOMS RIVER, NJ 08755

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Falk's NPI number?

The NPI number for Michelle Falk is 1194126037. It was assigned to this individual provider in the NPPES registry on September 10, 2014.

Where is Michelle Falk located?

Michelle Falk practices at 10 Stockton Dr, Toms River, NJ 08755. The listed phone number is (732) 363-6655.

What is Michelle Falk's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Michelle Falk enrolled in Medicare?

Yes. Michelle Falk is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michelle Falk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Falk reassigns Medicare benefits to Ocean Health Initiatives, Inc (Toms River, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michelle Falk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michelle Falk was last updated on March 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.