Individual provider Active NPI

Marsha N Shapiro, ACSW, LCSW, BCD

  • Clinical Social Worker
  • North Brunswick, NJ
National Provider Identifier
1093872186
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SC00046 Issued in NJ
Practice address
1626 Route 130 N.
Suite K
North Brunswick, NJ 08902
Phone
(732) 422-9400
Fax
(732) 274-0023
NPI assigned
Jan 2, 2007
Last updated
Mar 19, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SC00046 NJ Primary

Addresses

Primary practice location

1626 Route 130 N.
Suite K
North Brunswick, NJ 08902

Mailing address

1626 Route 130 North
Suite K
North Brunswick, NJ 08902
Phone (732) 422-9400

Other identifiers 2

IdentifierTypeStateIssuer
SC00046OtherNJLICENSE NUMBER
710968226OtherNJEMPLOYEE IDENTIFICATION #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041122000893 NJ Practitioner - Clinical Social Worker 7416912100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4499 Route 27
Princeton, NJ 08540-8717

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC00046NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Marsha N. Shapiro, LCSW, BCD, LLC Clinical CurrentSince Mar 24, 2009 Accepting new patients

Locations

1626 US Highway 130
Ste K
North Brunswick, NJ 08902
Phone (732) 422-9400

4499 Route 27
Princeton, NJ 08540
Phone (609) 638-8194

554 Commons Way
Toms River, NJ 08755
Phone (732) 244-5346

554 Commons Way
Bldg 32ND
Toms River, NJ 08755
Phone (732) 422-9400

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237420800000",
    "number": "1093872186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 ROUTE 130 NORTH",
            "address_2": "SUITE K",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "08902",
            "telephone_number": "732-422-9400",
            "fax_number": "732-274-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 ROUTE 130 N.",
            "address_2": "SUITE K",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "08902",
            "telephone_number": "732-422-9400",
            "fax_number": "732-274-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "MARSHA",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "ACSW, LCSW, BCD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2009-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "SC00046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "SC00046",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYEE IDENTIFICATION #",
            "identifier": "710968226",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.