Shannon Bernice Vandorn, CADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

37CA00182200 Issued in NJ

Practice address

18 Stagecoach Rd
Cape May Court House, NJ 08210-2024

Phone

(609) 305-0547

NPI assigned

May 19, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cooperative Care Partnership, Inc

  • Community/Behavioral Health Agency
  • Rio Grande, NJ
  • NPI 1477898096
  NPD
• Cooperative Care Partnership, Inc.

  • Community/Behavioral Health Agency
  • Rio Grande, NJ
  • NPI 1598124828
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1043901069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1076 ROUTE 47 S",
            "city": "RIO GRANDE",
            "state": "NJ",
            "postal_code": "082421608",
            "telephone_number": "609-741-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 STAGECOACH RD",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082102024",
            "telephone_number": "609-305-0547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDORN",
        "first_name": "SHANNON",
        "middle_name": "BERNICE",
        "credential": "CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37CA00182200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Torres, APN
• Township of Middle (Twp. of Middle EMS)
• Richard Marc Troum, DO
• David J. Truscello, DO
• Kellilyn Marie Turner
• Vantage Eyecare, LLC
• Philip Varner, DO
• Vascular Diagnostic Center PC
• Renjy Vattasseril, M.D.
• Jeffrey W Vecere, DMD MSD

• Addiction (Substance Use Disorder) Counselor in Cape May Court House, NJ
• Providers in Cape May Court House, NJ by specialty
• Addiction (Substance Use Disorder) Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.