Shaiann Nicole Grey, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC06302200 Issued in NJ

Practice address

200 Wyckoff Rd FL 2
Eatontown, NJ 07724-1928

Phone

(888) 244-5373

NPI assigned

Mar 27, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Children' Specialized Hospital

  • Medically Fragile Infants and Children Day Care
  • Mountainside, NJ
  • NPI 1578604476
  NPD
• Children'S Specialized Hospital

  • Children's Rehabilitation Hospital
  • New Brunswick, NJ
  • NPI 1396886297
  NPD
• Childrens Specialized Hospital

  • Customized Equipment (DME)
  • Mountainside, NJ
  • NPI 1639210180
  NPD (past)

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

{
    "created_epoch": "1648339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1205586724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WYCKOFF RD FL 2",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077241928",
            "telephone_number": "884-244-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WYCKOFF RD FL 2",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077241928",
            "telephone_number": "888-244-5373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREY",
        "first_name": "SHAIANN",
        "middle_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-27",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06302200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Ann Graham, MA-SLP
• Alexandra Granovsky, PHARMD
• Marissa Greco, LPC
• Meghan Green, LPC
• Gary Glenn Gregorio, BSPT
• Samantha Grimaldi, LPC
• Karen Grygiel, LAC
• Molly Gulati, MSW, LSW
• Rhonda Gulotta, LAC
• Jennfer Marie Guzman, CADC INTERN, CPRS

• Clinical Social Worker in Eatontown, NJ
• Providers in Eatontown, 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 Apr 3, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.