Shante James, LCSW
Individual provider Active NPI Clinical Social Worker · Brielle, NJ
NPI 1447412671 · NPPES record last updated Oct 28, 2010
Key facts
- NPI
- 1447412671
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44SC05331800 (NJ)
- Practice address
- 617 Union Ave
BLDG 3, Suite 20
Brielle, NJ 08730-1838 - Phone
- (732) 814-0764
- Fax
- (732) 626-8886
- NPI assigned
- Jun 30, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05331800 | NJ | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05331800 | NJ | Yes |
Addresses
Primary practice location
617 Union Ave
BLDG 3, Suite 20
Brielle, NJ 08730-1838
Mailing address
PO Box 1383
Jackson, NJ 08527-0383
Phone (732) 814-0764
Other providers in Brielle, NJ
- Judith Hilla
- Kurt D Hostnik
- Guy J Iacono
- Integrated Health and Wellness Center LLC
- Annmarie Iuni-Dodge
- Megan Johnson
- Joshua D. Wolpert M.D.
- KB Speech & Language Therapy LLC
- David Ira Kleinfeld
- Nancy Joy Kleinfeld
All providers in Brielle, NJ · Clinical Social Worker in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.