MRS. NICOLE L ZEDERBAUM (LCSW) – Clinical Social Worker, NPI 1114358637

MRS. NICOLE L ZEDERBAUM (LCSW) is a healthcare provider. based in Phillipsburg, New Jersey. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 44SC05751600 (NJ). The NPI Number for MRS. NICOLE L ZEDERBAUM (LCSW) is 1114358637

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
MRS. NICOLE L ZEDERBAUM (LCSW)
NPI
1114358637
Phone
(908) 777-3744
Address
291 PICKFORD AVE
Enumeration Date
9 December 2013
Last Update Date
17 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9084547244
Graduation Year
2012 (14 years ago)
PAC ID
6305197062
Group Practice PAC ID
9739093675
Professional Enrollment ID
I20180920000048
Address ID
NJ088651600PH305XXSTXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:12State licenses:2Digital endpointsOther names

2,724 CLINICAL SOCIAL WORKER in NJ

Provider Addresses for MRS. NICOLE L ZEDERBAUM (LCSW)

  • 291 PICKFORD AVE

    PHILLIPSBURG, NJ 088651626

    Phone: (908) 777-3744

    Type: Mailing

  • 305 ROSEBERRY ST STE 8

    PHILLIPSBURG, NJ 088651600

    Phone: (848) 225-7004

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-09-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180920000048IClinical Social WorkerNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes17512$0
View full utilization report →

Insurance plans in this area (ZIP 08865)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9739093675View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for MRS. NICOLE L ZEDERBAUM (LCSW)?
MRS. NICOLE L ZEDERBAUM (LCSW) — NPI 1114358637 — is the standard way to identify this listing.
Is MRS. NICOLE L ZEDERBAUM (LCSW) listed as active for patients and plans?
The listing shows MRS. NICOLE L ZEDERBAUM (LCSW) as active in the NPI system.
What is MRS. NICOLE L ZEDERBAUM (LCSW) best known for clinically?
Directory data describes MRS. NICOLE L ZEDERBAUM (LCSW) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What address line appears for MRS. NICOLE L ZEDERBAUM (LCSW)?
MRS. NICOLE L ZEDERBAUM (LCSW)'s geographic hint is Phillipsburg, New Jersey in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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