Tatyana O Shields, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05995800 Issued in NJ

Practice address

3495 US Highway 1 Ste 34 #1140
Princeton, NJ 08540-2603

Phone

(732) 305-0335

NPI assigned

Jan 12, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Tatyana O Gray Former name

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

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Emotional Wealth LLCGroup PAC ID 3375924368, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4

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.

• Emotional Wealth LLC

  • Clinical Social Worker
  • Lawrence Township, NJ
  • NPI 1750015160
  Medicare reassignment Care Compare group NPD Authorized official
• Capital Health Medical Group

  • Internal Medicine Physician
  • Trenton, NJ
  • NPI 1437516887

  Multi-Specialty

  Medicare reassignment NPD
• Lifebulb LLC

  • Mental Health Counselor
  • Toms River, NJ
  • NPI 1699491464

  Multi-Specialty

  Medicare reassignment NPD
• Thrive Counseling LLC

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1215181300

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760745600000",
    "number": "1255877429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 US HIGHWAY 1 STE 34 #1140",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402603",
            "telephone_number": "732-305-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3495 US HIGHWAY 1 STE 34 #1140",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402603",
            "telephone_number": "732-305-0335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Town Garden Dr Apt 6",
            "address_purpose": "LOCATION",
            "city": "Liverpool",
            "state": "NY",
            "postal_code": "130888503",
            "country_code": "US",
            "telephone_number": "732-305-0336",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "515 Mount Prospect Ave",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "07104",
            "country_code": "US",
            "telephone_number": "732-305-0335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1296 Lititz Pike # 1082",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176014340",
            "country_code": "US",
            "telephone_number": "732-305-0335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "TATYANA",
        "middle_name": "O",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-12",
        "last_updated": "2025-10-18",
        "certification_date": "2025-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05995800",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "099773",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW022019",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TATYANA",
            "last_name": "GRAY",
            "middle_name": "O",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kartik Shenoy, M.D.
• Shobana R Shenoy, OTR-L
• Peter Francis Sheridan, LMT, NMT
• Kelly Rose Sherman, ATC
• Anish A Sheth, MD
• Shikas Devoted Home Care Services
• Nara C Shin, M.D.
• Vivian Shnaidman, M.D.
• Amy Rubin Shriver, M.D.
• Laura L. Shwahla, LCSW

• Clinical Social Worker in Princeton, NJ
• Providers in Princeton, 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 Oct 18, 2025; 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.

Verify at the official NPI Registry.