Individual provider Active NPI

Sara Vickers Shapiro, MSW, LMSW, LCSW

  • Clinical Social Worker
  • Bergenfield, NJ
National Provider Identifier
1285207803
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06061500 Issued in NJ
Practice address
15 Sussex Rd
Bergenfield, NJ 07621-4011
Phone
(516) 637-3758
NPI assigned
Jul 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 091290 NY
Clinical Social Worker 1041C0700X 44SC06061500 NJ Primary

Addresses

Primary practice location

15 Sussex Rd
Bergenfield, NJ 07621-4011

Mailing address

15 Sussex Rd
Bergenfield, NJ 07621-4011
Phone (516) 637-3758

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
I20230713003143 NJ Practitioner - Clinical Social Worker 7719347392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
David Helfgott PSYD LLCGroup PAC ID 8628296720, 12 clinicians

Practice addresses (Care Compare)

773 Central Ave
Westfield, NJ 07090-2528
Phone (908) 228-2740

773 Central Ave Level
Westfield, NJ 07090-2528

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
091290NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
David Helfgott PSYD LLC CurrentSince May 1, 2023 Accepting new patients

Locations

773 Central Ave
Lowr
Westfield, NJ 07090
Phone (908) 228-2740

773 Central Ave
Lowr Leve
Westfield, NJ 07090
Phone (908) 228-2740

Organizations & group practices 1

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": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1285207803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SUSSEX RD",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076214011",
            "telephone_number": "516-637-3758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SUSSEX RD",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076214011",
            "telephone_number": "516-637-3758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "SARA",
        "middle_name": "VICKERS",
        "credential": "MSW, LMSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-21",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "091290",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06061500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bergenfield, NJ

Sources for this page

Verify at the official NPI Registry.