Shawnda McEwen

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SL06018200 Issued in NJ

Practice address

21 Meadow LN
Nanuet, NY 10954-5119

Phone

(646) 701-3432

NPI assigned

Apr 10, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Innerbeauty Psychotherapy & Consulting Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Nanuet, NY
  • NPI 1629841259
  NPD Authorized official

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

{
    "created_epoch": "1618012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618012800000",
    "number": "1336729722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 MAIN ST UNIT 241",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070248810",
            "telephone_number": "973-910-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MEADOW LN",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109545119",
            "telephone_number": "646-701-3432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCEWEN",
        "first_name": "SHAWNDA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-10",
        "last_updated": "2021-04-10",
        "certification_date": "2021-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06018200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ CONSUMER AFFAIRS",
            "identifier": "85-1024611",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cherida Blanche Matthie
• Bernade Jean Maurice, LPN
• Anne-Marie V Mauricette-Lamontagne
• Sheila Gaughan May, FNP
• Samantha McDonald-Allen
• Margaret McGrath
• Virginia McHale, N.P.
• Andrew McIntosh, MS
• Josephine McIntosh
• Colleen McIntyre, RN

• Social Worker in Nanuet, NY
• Providers in Nanuet, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.