Nancy A Shupack, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05371100 Issued in NJ

Practice address

500 N Bridge St
Bridgewater, NJ 08807-2135

Phone

(908) 725-2800

Fax

(908) 704-1790

NPI assigned

Jan 29, 2008

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

Other identifiers 1

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, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Catholic Charities, Diocese of MetuchenGroup PAC ID 8123011046, shared by 2 NPIs, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• County of Somerset Treasurer

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bridgewater, NJ
  • NPI 1922034172
  Medicare reassignment NPD
• Senior Care Therapy LLC

  • Clinical Psychologist
  • Passaic, NJ
  • NPI 1285898098
  Medicare reassignment NPD
• County of Somerset Treasurer

  • Psychiatric Hospital Unit
  • Somerville, NJ
  • NPI 1407054406
  NPD
• My Place for Peace, LLC

  • Professional Counselor
  • Flemington, NJ
  • NPI 1023659976
  NPD (past)

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1275710428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 127",
            "city": "ANNANDALE",
            "state": "NJ",
            "postal_code": "088010127",
            "telephone_number": "917-533-3924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N BRIDGE ST",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072135",
            "telephone_number": "908-725-2800",
            "fax_number": "908-704-1790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Route 22 E",
            "address_purpose": "LOCATION",
            "city": "Annandale",
            "state": "NJ",
            "postal_code": "08801",
            "country_code": "US",
            "telephone_number": "908-210-2904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUPACK",
        "first_name": "NANCY",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-29",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "069873-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05371100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "44SC05371100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary Sherman, O.D.
• Vidya Shetty
• Sonyo Shin, MD
• Kathleen Marie Shouffler, RN CNS
• Leon H Shulman, MD
• Amanda Sillib
• Silvergate Preparatory School LLC
• Simon L Chiang LLC
• Audrey Sindac-Chen, PHARMD
• Harleen Singh, PA-C

• Clinical Social Worker in Bridgewater, NJ
• Providers in Bridgewater, 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 Mar 13, 2023; 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.