Individual provider Active NPI

Shannon Marina Milley, LCSW

  • Clinical Social Worker
  • Moorestown, NJ
National Provider Identifier
1609770486
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06687500 Issued in NJ
Practice address
78 E 2ND St
Moorestown, NJ 08057-3304
Phone
(856) 316-6199
NPI assigned
Oct 6, 2026
Last updated
Oct 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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 44SC06687500 NJ Primary

Addresses

Primary practice location

78 E 2ND St
Moorestown, NJ 08057-3304

Mailing address

21 Devonshire Rd
Mount Laurel, NJ 08054-1905
Phone (856) 316-6199

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1791244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1609770486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 DEVONSHIRE RD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541905",
            "telephone_number": "856-316-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 E 2ND ST",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573304",
            "telephone_number": "856-316-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLEY",
        "first_name": "SHANNON",
        "middle_name": "MARINA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-06",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06687500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.