Active NPI
Shelby Lynn Somers, MSW, LCSW
- Clinical Social Worker
- Denville, NJ
National Provider Identifier
1659908184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC06324700
- Practice address
- 16 Pocono Rd Ste 107
Denville, NJ 07834-2905 - Phone
- (973) 263-0683
- NPI assigned
- Mar 25, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC06324700 | NJ | Primary |
Addresses
Primary practice location
16 Pocono Rd Ste 107
Denville, NJ 07834-2905
Mailing address
16 Pocono Rd Ste 107
Denville, NJ 07834-2905
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
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC06324700 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Impact Health Counseling LLC | Current | Accepting new patients | |
| Brighter Brains, LLC | Past | Accepting new patients |
Locations
16 Pocono Rd
Ste 107
Denville, NJ 07834
Phone (973) 263-0683
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 and National Provider Directory roles.
-
- Professional Counselor
- Denville, NJ
- NPI 1548970353
-
- Multi-Specialty Clinic/Center
- Statesboro, GA
- NPI 1356860944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712534400000",
"number": "1659908184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 POCONO RD STE 107",
"city": "DENVILLE",
"state": "NJ",
"postal_code": "078342905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 POCONO RD STE 107",
"city": "DENVILLE",
"state": "NJ",
"postal_code": "078342905",
"telephone_number": "973-263-0683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOMERS",
"first_name": "SHELBY",
"middle_name": "LYNN",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-25",
"last_updated": "2024-04-08",
"certification_date": "2024-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC06324700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.