Organization Active NPI

Shore Counseling, LLC

  • Clinical Social Worker
  • Cape May Court House, NJ
National Provider Identifier
1356607758
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05343800 Issued in NJ
Legal business name
SHORE COUNSELING, LLC
Practice address
217 N Main St
Suite 204
Cape May Court House, NJ 08210-2165
Phone
(609) 465-4448
Fax
(609) 465-4438
NPI assigned
Apr 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

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

Authorized official

Name
Mrs. Christine Marie Lane, LCSW, MSWNPI 1295919413
Title
Ceo/Psychologist
Phone
(609) 465-4448

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 44SC05343800 NJ Primary

Addresses

Primary practice location

217 N Main St
Suite 204
Cape May Court House, NJ 08210-2165

Mailing address

217 N Main St
Suite 204
Cape May Court House, NJ 08210-2165
Phone (609) 465-4448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120419000175 NJ Part B Supplier - Clinic/Group Practice 6709047707 Receives reassigned benefits from 4 practitioners
Practice locations: Ocean City, NJ

National Provider Directory

National Provider Directory

Locations

601 Route 9 S
Fl 2
Cape May Court House, NJ 08210
Phone (609) 465-4448

15 S Main St
Ste 2
Cape May Court House, NJ 08210
Phone (609) 465-4448

217 N Main St
Ste 204
Cape May Court House, NJ 08210
Phone (609) 465-4448

211 N Main St
Ste 207
Cape May Court House, NJ 08210
Phone (609) 465-4448

701 West Ave
Ste 202
Ocean City, NJ 08226
Phone (609) 399-4717

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1356607758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 N MAIN ST",
            "address_2": "SUITE 204",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082102165",
            "telephone_number": "609-465-4448",
            "fax_number": "609-465-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 N MAIN ST",
            "address_2": "SUITE 204",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082102165",
            "telephone_number": "609-465-4448",
            "fax_number": "609-465-4438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-10",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO/PSYCHOLOGIST",
        "authorized_official_telephone_number": "609-465-4448",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW, MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05343800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape May Court House, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.