Shannon Foster, L.C.S.W.
Individual provider Active NPI Clinical Social Worker · West Milford, NJ
NPI 1669524591 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1669524591
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44SC05245900 (NJ)
- Practice address
- 179 Cahill Cross Rd
Suite 212
West Milford, NJ 07480-1988 - Phone
- (973) 248-5896
- Fax
- (973) 208-3344
- NPI assigned
- Jan 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05245900 | NJ | Yes |
Addresses
Primary practice location
179 Cahill Cross Rd
Suite 212
West Milford, NJ 07480-1988
Mailing address
25 Hightop Rd
West Milford, NJ 07480-4112
Phone (973) 409-4368
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P3613030 | Other | NJ | OXFORD HEALTH PLANS |
Other providers in West Milford, NJ
- Yasmeen Faraj
- Jacqueline Felczak
- Evelyn Fernandez
- Susan T Fitzsimons
- Maryclaire Fleming-Reilly
- Michael John Franklin
- Susan X Friedrichs
- Christian S Gartner
- Alison Gerlitz
- Emma Gibson
All providers in West Milford, NJ · Clinical Social Worker in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.