Individual provider Active NPI

Greta Shames-Dawson, LCSW., PHD

  • Clinical Social Worker
  • Monmouth Beach, NJ
National Provider Identifier
1174514673
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00654300 Issued in NJ
Practice address
25 Meadow Ave
Unit 20
Monmouth Beach, NJ 07750-1062
Phone
(732) 222-9711
Fax
(732) 222-9711
NPI assigned
Nov 3, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 44SC00654300 NJ Primary

Addresses

Primary practice location

25 Meadow Ave
Unit 20
Monmouth Beach, NJ 07750-1062

Mailing address

25 Meadow Ave
Unit 20
Monmouth Beach, NJ 07750-1062
Phone (732) 222-9711

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
I20050504000160 NJ Practitioner - Clinical Social Worker 0547200123 Practice locations: Monmouth Beach, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25 Meadow Ave
Unit 20
Monmouth Beach, NJ 07750-1035
Phone (732) 222-9711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
44SC00654300NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Elder Life Management LLC Clinical PastSince Dec 15, 2013 Accepting new patients
Premier Care LLC Dba Elder Life Home Care LLC Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1174514673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MEADOW AVE",
            "address_2": "UNIT 20",
            "city": "MONMOUTH BEACH",
            "state": "NJ",
            "postal_code": "077501062",
            "telephone_number": "732-222-9711",
            "fax_number": "732-222-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MEADOW AVE",
            "address_2": "UNIT 20",
            "city": "MONMOUTH BEACH",
            "state": "NJ",
            "postal_code": "077501062",
            "telephone_number": "732-222-9711",
            "fax_number": "732-222-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMES-DAWSON",
        "first_name": "GRETA",
        "name_prefix": "Dr.",
        "credential": "LCSW., PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00654300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monmouth Beach, NJ

Sources for this page

Verify at the official NPI Registry.