Active NPI
Laura Shwahla
- Community/Behavioral Health Agency
- Princeton, NJ
National Provider Identifier
1053641050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 44SC05297400
- Legal business name
- LAURA SHWAHLA
- Practice address
- 12 Roszel Rd Ste C202
Princeton, NJ 08540 - Phone
- (609) 510-8848
- NPI assigned
- Jan 13, 2010
- Last updated
- Mar 8, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Laura Shwahla, LCSW
- Title
- Member
- Phone
- (609) 510-8848
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 44SC05297400 | NJ | Primary |
Addresses
Primary practice location
12 Roszel Rd Ste C202
Princeton, NJ 08540
Mailing address
12 Roszel Rd Ste C202
Princeton, NJ 08540-6250
Phone (609) 510-8848
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
12 Roszel Rd
Ste C202
Princeton, NJ 08540
Phone (609) 510-8848
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Princeton, NJ
- NPI 1003098492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263340800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1552003200000",
"number": "1053641050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 ROSZEL RD STE C202",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085406250",
"telephone_number": "609-510-8848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 ROSZEL RD STE C202",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "08540",
"telephone_number": "609-510-8848"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAURA SHWAHLA",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-13",
"last_updated": "2019-03-08",
"status": "A",
"authorized_official_last_name": "SHWAHLA",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "609-510-8848",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NJ",
"license": "44SC05297400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Princeton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.