Individual provider Active NPI

Shana Maltzman, LCSW

  • Clinical Social Worker
  • Englishtown, NJ
National Provider Identifier
1619156122
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06481300 Issued in NJ
Practice address
66 Carriage LN
Englishtown, NJ 07726-1641
Phone
(732) 804-2352
NPI assigned
Oct 31, 2007
Last updated
Dec 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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 44SC06481300 NJ Primary

Addresses

Primary practice location

66 Carriage LN
Englishtown, NJ 07726-1641

Mailing address

66 Carriage LN
Englishtown, NJ 07726-1641
Phone (917) 583-6537

Other names 1

  • Shana Dubin Former name

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
I20251028002695 NJ Practitioner - Clinical Social Worker 2668373622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

500 Westover Dr
Sanford, NC 27330-8941

66 Carriage LN
Englishtown, NJ 07726-1641

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC06481300NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group NJ, PC CurrentSince Oct 9, 2025 Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients

Locations

830 Morris Tpke
Short Hills, NJ 07078
Phone (973) 302-6040

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1619156122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 CARRIAGE LN",
            "city": "ENGLISHTOWN",
            "state": "NJ",
            "postal_code": "077261641",
            "telephone_number": "917-583-6537",
            "fax_number": "718-749-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 CARRIAGE LN",
            "city": "ENGLISHTOWN",
            "state": "NJ",
            "postal_code": "077261641",
            "telephone_number": "732-804-2352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALTZMAN",
        "first_name": "SHANA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-31",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06481300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANA",
            "last_name": "DUBIN",
            "credential": "CSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Englishtown, NJ

Sources for this page

Verify at the official NPI Registry.