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MR. EDWARD RANDALL FAULKNER LSW
NPI 1790936599
Social Worker in Wall Township, NJ

Active since October 10, 2008PECOS EnrolledAccepts Medicare Assignment
1985 STATE ROUTE 34 STE A3, WALL TOWNSHIP, NJ 07719(215) 817-7372(215) 554-6966 Get Directions Write a Review

NPPES record last updated: November 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 29, 2022, Jan 9, 2021 (2 updates tracked since 2021).

About Mr. Edward Randall Faulkner Lsw NPPES

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

MR. EDWARD RANDALL FAULKNER LSW (NPI 1790936599) is an individual social worker in Wall Township, New Jersey, licensed in New Jersey (44SC05919000) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in Philadelphia, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1790936599
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameMR. EDWARD RANDALL FAULKNERCredential: LSW
Location Address1985 STATE ROUTE 34 STE A3Wall Township, NJ 07719-9101
Mailing Address404 Grassmere AveInterlaken, NJ 07712-4313 · (215) 817-7372 · Fax (215) 554-6966
Phone(215) 817-7372
Fax(215) 554-6966
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateOctober 10, 2008
Last NPPES UpdateNovember 29, 20222 updates tracked since enumeration
NPPES CertifiedNovember 29, 2022
✔ NPI 1790936599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Licenses✔ Licensed in NJ · 44SC05919000✔ Licensed in PA · SW126856
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
1985 STATE ROUTE 34 STE A3, Wall Township, NJ 07719
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Secondary Practice Location 1

Location 11845 Walnut St Ste 653Philadelphia, PA 19103-4718 · Phone (215) 384-8624 · Fax (215) 554-6966

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Edward Randall Faulkner Lsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638353147
PECOS Enrollment IDI20110407000434, I20230412001798
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.

Other Providers at the Same Location NPPES

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

DANIEL JOSEPH POTOCZNIAK PH.D.
Psychologist
1985 STATE ROUTE 34 STE A3
WALL TOWNSHIP, NJ 07719
Monmouth County (215) 384-8624

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 Edward Faulkner's NPI number?

The NPI number for Edward Faulkner is 1790936599. It was assigned to this individual provider in the NPPES registry on October 10, 2008.

Where is Edward Faulkner located?

Edward Faulkner practices at 1985 State Route 34 Ste A3, Wall Township, NJ 07719. The listed phone number is (215) 817-7372.

What is Edward Faulkner's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Edward Faulkner enrolled in Medicare?

Yes. Edward Faulkner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Edward Faulkner was last updated on November 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.