Individual provider Active NPI

Shivani Shanmugadas, LCSW

  • Clinical Social Worker
  • Iselin, NJ
National Provider Identifier
1639855000
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06593000 Issued in NJ
Practice address
200 Middlesex Tpke Ste 102
Iselin, NJ 08830-2033
Phone
(732) 655-6339
NPI assigned
Jun 22, 2023
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 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 44SC06593000 NJ Primary

Addresses

Primary practice location

200 Middlesex Tpke Ste 102
Iselin, NJ 08830-2033

Mailing address

200 Middlesex Tpke Ste 102
Iselin, NJ 08830-2033
Phone (732) 655-6339

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
I20260410000053 NJ Practitioner - Clinical Social Worker 3375018062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2351 The by Way
Morrow, GA 30260-1441

43 S Ridge CT
Ridgefield, CT 06877-5420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL06946500NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcareserv CurrentSince Jun 25, 2023 Accepting new patients
The Howard Center for Wellness LLC CurrentSince Jun 25, 2023 Accepting new patients

Locations

200 Middlesex Tpke
Ste 102
Iselin, NJ 08830
Phone (732) 655-6339

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IDEECD

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, 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": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1639855000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MIDDLESEX TPKE STE 102",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088302033",
            "telephone_number": "732-655-6339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MIDDLESEX TPKE STE 102",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088302033",
            "telephone_number": "732-655-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANMUGADAS",
        "first_name": "SHIVANI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-22",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06593000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iselin, NJ

Sources for this page

Verify at the official NPI Registry.