Individual provider Active NPI

Shaina Tinsley, LCSW

  • Clinical Social Worker
  • Cape May Court House, NJ
National Provider Identifier
1306475959
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05918000 Issued in NJ
Practice address
128 Crest Haven Rd
Cape May Court House, NJ 08210-1651
Phone
(844) 422-3632
NPI assigned
Apr 6, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05918000 NJ Primary

Addresses

Primary practice location

128 Crest Haven Rd
Cape May Court House, NJ 08210-1651

Mailing address

128 Crest Haven Rd
Cape May Court House, NJ 08210-1651
Phone (844) 422-3632

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
I20200824003192 NJ Practitioner - Clinical Social Worker 8123445079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acenda, Inc.Group PAC ID 0042290678, 27 clinicians

Practice addresses (Care Compare)

128 Crest Haven Rd
Cape May Court House, NJ 08210-1651
Phone (844) 422-3632

42 Delsea Dr S
Glassboro, NJ 08028-2621
Phone (844) 422-3632

42 S Delsea Dr
Glassboro, NJ 08028-2621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Acenda, Inc. Clinical CurrentSince Jul 29, 2020 Accepting new patients

Locations

128 Crest Haven Rd
Cape May Court House, NJ 08210
Phone (609) 465-4100

42 Delsea Dr S
Glassboro, NJ 08028
Phone (856) 863-0006

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": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1306475959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 CREST HAVEN RD",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082101651",
            "telephone_number": "844-422-3632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 CREST HAVEN RD",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082101651",
            "telephone_number": "844-422-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINSLEY",
        "first_name": "SHAINA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-06",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05918000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape May Court House, NJ

Sources for this page

Verify at the official NPI Registry.