Individual provider Active NPI

Shirley J Lozano Nelson, MSW, LCSW

  • Clinical Social Worker
  • Howell, NJ
National Provider Identifier
1376730879
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05531500 Issued in NJ
Practice address
504 Aldrich Rd Ste 1a
Howell, NJ 07731-1978
Phone
(732) 330-2992
NPI assigned
Sep 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05531500 NJ Primary
School Social Worker 1041S0200X 565494-645908 NJ

Addresses

Primary practice location

504 Aldrich Rd Ste 1a
Howell, NJ 07731-1978

Mailing address

70 Shinnecock Hills CT
Howell, NJ 07731-5014
Phone (732) 330-2992

Other practice location 1

70 Shinnecock Hills Ct
Howell, NJ 07731-5014
Phone (732) 330-2992

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
I20141219001411 NJ Practitioner - Clinical Social Worker 0941523187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Walters Psychological LLCGroup PAC ID 9830473271, 2 clinicians

Practice addresses (Care Compare)

504 Aldrich Rd
Suite 1a
Howell, NJ 07731-1978
Phone (848) 231-9460

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
565494-645908NJMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Walters Psychological LLC CurrentSince Oct 15, 2019 Accepting new patients

Locations

504 Aldrich Rd
Ste 1A
Howell, NJ 07731
Phone (732) 330-2992

504 Aldrich Rd
Ste 2C
Howell, NJ 07731
Phone (201) 822-5944

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": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1376730879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 SHINNECOCK HILLS CT",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077315014",
            "telephone_number": "732-330-2992",
            "fax_number": "732-719-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 ALDRICH RD STE 1A",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077311978",
            "telephone_number": "732-330-2992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 Shinnecock Hills Ct",
            "address_purpose": "LOCATION",
            "city": "Howell",
            "state": "NJ",
            "postal_code": "077315014",
            "country_code": "US",
            "telephone_number": "732-330-2992",
            "fax_number": "732-719-6923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOZANO NELSON",
        "first_name": "SHIRLEY",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "MSW,  LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-27",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05531500",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NJ",
            "license": "565494-645908",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, NJ

Sources for this page

Verify at the official NPI Registry.