Active NPI
Shannon Whitledge, LSW, CHHT
- Social Worker
- Neptune, NJ
National Provider Identifier
1104565118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SL06455100
- Practice address
- 46 Winding Ridge Dr
Neptune, NJ 07753-8107 - Phone
- (848) 459-8730
- NPI assigned
- May 31, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Social Worker | 104100000X | 44SL06455100 | NJ | Primary |
Addresses
Primary practice location
46 Winding Ridge Dr
Neptune, NJ 07753-8107
Mailing address
46 Winding Ridge Dr
Neptune, NJ 07753-8107
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
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL06455100 | NJ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653955200000",
"number": "1104565118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 WINDING RIDGE DR",
"city": "NEPTUNE",
"state": "NJ",
"postal_code": "077538107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 WINDING RIDGE DR",
"city": "NEPTUNE",
"state": "NJ",
"postal_code": "077538107",
"telephone_number": "848-459-8730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITLEDGE",
"first_name": "SHANNON",
"credential": "LSW, CHHT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-31",
"last_updated": "2022-05-31",
"certification_date": "2022-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL06455100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Neptune, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.