Shore Health and Wellness LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05195000 Issued in NJ

Legal business name

SHORE HEALTH AND WELLNESS LLC

Practice address

621 Shrewsbury Ave
Suite 115
Shrewsbury, NJ 07702-4153

Phone

(732) 546-2339

NPI assigned

Jan 29, 2016

Last updated

Jan 29, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Susan M Cattermole, LCSWNPI 1275610537

Title

Psychotherapist/Owner

Phone

(732) 546-2339

Specialties & licenses 1

Addresses

Other names 1

• Susan M. Cattermole LCSW Other name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan M. Cattermole, LCSW

  • Clinical Social Worker
  • Shrewsbury, NJ
  • NPI 1275610537
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454025600000",
    "number": "1346608817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 APPLEBY DR",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077124633",
            "telephone_number": "732-546-2339",
            "fax_number": "732-361-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 SHREWSBURY AVE",
            "address_2": "SUITE 115",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024153",
            "telephone_number": "732-546-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-29",
        "last_updated": "2016-01-29",
        "status": "A",
        "authorized_official_last_name": "CATTERMOLE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/OWNER",
        "authorized_official_telephone_number": "732-546-2339",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05195000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Susan M. Cattermole LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sher Institute for Reproductive Medicine
• Marvin Jeffrey Sher, DMD
• Tejas Shinde, MD
• Shore Advanced Wound Care LLC
• Shore Child Counseling Inc.
• Shore Medical DME
• Shore Medicine & Pediatrics Associates P a
• Michelle Short
• Kristen Shortell, MS, LPC, LPAT ATR-BC
• SHP VI Shrewsbury LLC (The Chelsea at Shrewsbury)

• Clinical Social Worker in Shrewsbury, NJ
• Providers in Shrewsbury, 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 Jan 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.