Individual provider Active NPI

La Shauna Richardson, LCSW

  • Clinical Social Worker
  • Matawan, NJ
National Provider Identifier
1497287403
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05873100 Issued in NJ
Practice address
213 Main St Ste 205
Matawan, NJ 07747-3221
Phone
(732) 290-5238
NPI assigned
Mar 29, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 44SL06034700 NJ
Clinical Social Worker 1041C0700X 44SC05873100 NJ Primary
Social Worker 104100000X 44SL060347000 NJ

Addresses

Primary practice location

213 Main St Ste 205
Matawan, NJ 07747-3221

Mailing address

82 Cliffwood Ave Unit 29
Cliffwood, NJ 07721-1082
Phone (732) 290-5781

Other practice location 1

82 Cliffwood Ave Unit 29
Cliffwood, NJ 07721-1082
Phone (908) 420-3986

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SL06034700NJMDMental Health Counselor
44SL060347000NJMDSocial Worker
44SC05873100NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ruth'S Place Counseling Services Clinical CurrentSince Dec 28, 2025 Accepting new patients

Locations

213 Main St
Ste 205
Matawan, NJ 07747
Phone (732) 290-5238

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": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1497287403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 CLIFFWOOD AVE UNIT 29",
            "city": "CLIFFWOOD",
            "state": "NJ",
            "postal_code": "077211082",
            "telephone_number": "732-290-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 MAIN ST STE 205",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077473221",
            "telephone_number": "732-290-5238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "82 Cliffwood Ave Unit 29",
            "address_purpose": "LOCATION",
            "city": "Cliffwood",
            "state": "NJ",
            "postal_code": "077211082",
            "country_code": "US",
            "telephone_number": "908-420-3986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "LA SHAUNA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-29",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SL06034700",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05873100",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL060347000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matawan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; 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.