Laurel Fastow
NPI 1710740659 · Clinical Social Worker · South Orange, NJ
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Laurel Fastow is a Clinical Social Worker provider in South Orange, NJ (NPI 1710740659).
Provider details
- NPI number
- 1710740659
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 44SC00597000 (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 tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-02-02
- Last updated
- 2024-04-24
- Certified
- 2024-04-24
Frequently asked questions
- What is Laurel Fastow's NPI number?
- Laurel Fastow's National Provider Identifier (NPI) is 1710740659, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Laurel Fastow's specialty?
- Laurel Fastow is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Laurel Fastow located?
- Laurel Fastow's practice location on file with NPPES is 76 S Orange Ave Ste 214, South Orange, NJ 07079-1923.
- What is Laurel Fastow's phone number?
- The practice phone number listed in the NPPES registry for Laurel Fastow is (973) 704-4657.
- Does Laurel Fastow accept Medicare?
- Laurel Fastow is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Laurel Fastow's NPI active?
- Yes — Laurel Fastow's NPI (1710740659) is active in the NPPES registry as of the last update on 2024-04-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.