Individual provider Active NPI

Shweta Jain

  • Clinical Social Worker
  • Princeton Junction, NJ
National Provider Identifier
1073242335
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06081800 Issued in NJ
Practice address
4065 Quakerbridge Rd Ste 102
Princeton Junction, NJ 08550-5243
Phone
(609) 651-4001
NPI assigned
Jun 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00328200 NJ
Clinical Social Worker 1041C0700X 44SC06081800 NJ Primary

Addresses

Primary practice location

4065 Quakerbridge Rd Ste 102
Princeton Junction, NJ 08550-5243

Mailing address

4065 Quakerbridge Rd Ste 102
Princeton Junction, NJ 08550-5243
Phone (609) 651-4001

Other practice location 1

11 Fulham Way
East Windsor, NJ 08520-2955
Phone (609) 937-8681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37LC00328200NJMDAddiction (Substance Use Disorder) Counselor
44SC06081800NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1073242335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4065 QUAKERBRIDGE RD STE 102",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "085505243",
            "telephone_number": "609-651-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4065 QUAKERBRIDGE RD STE 102",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "085505243",
            "telephone_number": "609-651-4001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Fulham Way",
            "address_purpose": "LOCATION",
            "city": "East Windsor",
            "state": "NJ",
            "postal_code": "085202955",
            "country_code": "US",
            "telephone_number": "609-937-8681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAIN",
        "first_name": "SHWETA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00328200",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06081800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton Junction, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.