Sandra Shammas, LCSW, LCADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05831600 Issued in NJ

Practice address

211 Sussex St
Harrison, NJ 07029-2123

Phone

(973) 873-2951

NPI assigned

Feb 7, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2023 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sandra Shammas, LCSW, Lcadc, LLC

  • Clinical Social Worker
  • Harrison, NJ
  • NPI 1295395325
  NPD Authorized official

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1194357137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 SUSSEX ST",
            "city": "HARRISON",
            "state": "NJ",
            "postal_code": "070292123",
            "telephone_number": "973-873-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 SUSSEX ST",
            "city": "HARRISON",
            "state": "NJ",
            "postal_code": "070292123",
            "telephone_number": "973-873-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMMAS",
        "first_name": "SANDRA",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-07",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37LC00288700",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05831600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Alana Sampath, LMHC
• Sandra Shammas, LCSW, Lcadc, LLC
• Fatoumata Seck, LSW
• Select Physical Therapy Holdings Inc
• Kiewanda Shabazz-Henry, RN
• Shea Rehabilitation Services Inc.
• Joshua Silva, PTA
• Smith ABA Therapy
• Lateffa Marie Smith
• Shivangi N Solanki, PHARMD

• Clinical Social Worker in Harrison, NJ
• Providers in Harrison, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.