Individual provider Active NPI

Eileen S. McDermott, LCSW

  • Clinical Social Worker
  • Westfield, NJ
National Provider Identifier
1336572106
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04911700 Issued in NJ
Practice address
629 N Scotch Plains Ave
Westfield, NJ 07090-4452
Phone
(908) 209-0229
NPI assigned
Aug 15, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

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 44SC04911700 NJ Primary

Addresses

Primary practice location

629 N Scotch Plains Ave
Westfield, NJ 07090-4452

Mailing address

629 N Scotch Plains Ave
Westfield, NJ 07090-4452
Phone (908) 209-0229

Other names 1

  • Ms. Eileen Frances Shea Former name

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
I20131211001130 NJ Practitioner - Clinical Social Worker 1951538214 Practice locations: Westfield, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

629 N Scotch Plains Ave
Westfield, NJ 07090-4452

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376524800000",
    "number": "1336572106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 N SCOTCH PLAINS AVE",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070904452",
            "telephone_number": "908-209-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 N SCOTCH PLAINS AVE",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070904452",
            "telephone_number": "908-209-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "EILEEN",
        "middle_name": "S.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-15",
        "last_updated": "2013-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04911700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EILEEN",
            "last_name": "SHEA",
            "middle_name": "FRANCES",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westfield, NJ

Sources for this page

Verify at the official NPI Registry.