Active NPI
Shelly D'Amato, LCSW
- Social Worker
- Roseland, NJ
National Provider Identifier
1144710054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 14 Pacio CT
Roseland, NJ 07068-1121 - Phone
- (201) 245-4014
- NPI assigned
- May 16, 2018
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05941400 | NJ | |
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
14 Pacio CT
Roseland, NJ 07068-1121
Mailing address
14 Pacio CT
Roseland, NJ 07068-1121
Phone (201) 245-4014
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
14 Pacio CT
Roseland, NJ 07068-1121
Phone (862) 352-8683
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shelly D'Amato LLC | Single Specialty | Current | Accepting new patients |
| Care Plus NJ Inc. | Current | Accepting new patients | |
| Care Plus NJ, Inc | Current | Accepting new patients | |
| Care Plus NJ, Inc. | Single Specialty | Current | Accepting new patients |
Locations
610 Valley Health Plz
Paramus, NJ 07652
Phone (201) 797-2660
Organizations & group practices 4
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Roseland, NJ
- NPI 1972355287
Single Specialty
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Paramus, NJ
- NPI 1003275595
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Morris Plains, NJ
- NPI 1902655970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719273600000",
"number": "1144710054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 PACIO CT",
"city": "ROSELAND",
"state": "NJ",
"postal_code": "070681121",
"telephone_number": "201-245-4014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 PACIO CT",
"city": "ROSELAND",
"state": "NJ",
"postal_code": "070681121",
"telephone_number": "201-245-4014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "D'AMATO",
"first_name": "SHELLY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-16",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05941400",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseland, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.