Barbara Edelhauser, LCSW
NPI 1346756251 · Clinical Social Worker · Toms River, NJ
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Barbara Edelhauser, LCSW is a Clinical Social Worker provider in Toms River, NJ (NPI 1346756251).
Provider details
- NPI number
- 1346756251
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 44SC05849100 (NJ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
8 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
344 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Psychiatric Services Complicated By Communication Factor90785 | 174 | $11 |
| Psychotherapy, 1 Hour90837 | 170 | $118 |
Typical Medicare-allowed amounts for these services range $11–$118 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (2)
- 700 Airport RdLakewood, NJ 08701-5907Phone: (732) 367-4700Fax: (732) 364-2253
- 52 Hyers St Ste 3Toms River, NJ 08753-7465Phone: (732) 281-2060Fax: (732) 281-6969
Registry dates
- Enumerated
- 2017-12-15
- Last updated
- 2020-08-13
- Certified
- 2020-08-13
Frequently asked questions
- What is Barbara Edelhauser's NPI number?
- Barbara Edelhauser's National Provider Identifier (NPI) is 1346756251, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Barbara Edelhauser's specialty?
- Barbara Edelhauser is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Barbara Edelhauser located?
- Barbara Edelhauser's practice location on file with NPPES is 509 Main St Bldg C, Toms River, NJ 08753-7402.
- What is Barbara Edelhauser's phone number?
- The practice phone number listed in the NPPES registry for Barbara Edelhauser is (732) 503-9253.
- Does Barbara Edelhauser accept Medicare?
- Barbara Edelhauser is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Barbara Edelhauser's NPI active?
- Yes — Barbara Edelhauser's NPI (1346756251) is active in the NPPES registry as of the last update on 2020-08-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.