Individual provider Active NPI

Shirley Bellardo, LCSW

  • Clinical Social Worker
  • Trenton, NJ
National Provider Identifier
1497817423
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04664000 Issued in NJ
Practice address
946 Edgewood Ave
Trenton, NJ 08618-5304
Phone
(609) 393-1626
Fax
(609) 393-3113
NPI assigned
Dec 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC04664000 NJ Primary

Addresses

Primary practice location

946 Edgewood Ave
Trenton, NJ 08618-5304

Mailing address

946 Edgewood Ave
Trenton, NJ 08618-5304
Phone (609) 393-1626

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
I20200102001005 NJ Practitioner - Clinical Social Worker 4183058910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

707 Alexander Rd
Suite 102
Princeton, NJ 08540-6331
Phone (609) 987-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC04664000NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family & Children'S Service of Greater Mercer County Clinical CurrentSince Nov 2, 2019 Accepting new patients
Family Guidance Center Corporation Past Accepting new patients
Family Guidance Center Corporation Past Accepting new patients

Locations

707 Alexander Rd
Ste 102
Princeton, NJ 08540
Phone (609) 987-8100

Organizations & group practices 3

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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497817423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "946 EDGEWOOD AVE",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086185304",
            "telephone_number": "609-393-1626",
            "fax_number": "609-393-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 EDGEWOOD AVE",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086185304",
            "telephone_number": "609-393-1626",
            "fax_number": "609-393-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLARDO",
        "first_name": "SHIRLEY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04664000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

Verify at the official NPI Registry.