Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Edward Randall Faulkner, LSW

Individual provider Social Worker · NPI 1790936599

Mr. Edward Randall Faulkner, LSW is a Clinical Social Worker in Wall Township, New Jersey. Qualified in 2008, 18 years ago. Practices as a sole proprietor, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New Jersey and Pennsylvania.

Years since qualifying
18
Licensed in
NJ, PA
In the registry since
2008
Specialties on file
2
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

1985 State Route 34 Ste A3
Wall Township, NJ 07719-9101
Phone: (215) 817-7372
Fax: (215) 554-6966
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1845 Walnut St Ste 653, Philadelphia, PA 19103-4718 — (215) 384-8624

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 44SC05919000 (NJ)
Social Worker Taxonomy 104100000X · Licence SW126856 (PA)

Record details

NPI number1790936599
Entity typeIndividual (Type 1)
GenderMale
Credentials LSW
Sole proprietorYes
NPI enumeratedOctober 10, 2008
Last updated in NPPESNovember 29, 2022
Certification dateNovember 29, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Wall Township