Individual provider Active NPI

Salila Shen, LCSW

  • Clinical Social Worker
  • Wilmington, DE
National Provider Identifier
1740613223
Registry record updated Dec 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0001230 Issued in DE
Practice address
99 Passmore Dr
Wilmington, DE 19803-1548
Phone
(302) 478-9411
NPI assigned
Aug 19, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW017393 PA
Clinical Social Worker 1041C0700X Q1-0001230 DE Primary

Addresses

Primary practice location

99 Passmore Dr
Wilmington, DE 19803-1548

Mailing address

2307 Woodland LN
Wilmington, DE 19810-4054
Phone (302) 388-5112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20131007000346 DE Practitioner - Clinical Social Worker 3375777378 Reassigns benefits to 3 organizations
Practice locations: Newark, DE; Wilmington, DE

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Serene Minds LLCGroup PAC ID 0143519553, 22 clinicians

Practice addresses (Care Compare)

410 Foulk Rd
Suite 102
Wilmington, DE 19803-3835
Phone (302) 478-6199

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
Q1-0001230DEMDClinical Social Worker
CW017393PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services, Inc Clinical CurrentSince Feb 10, 2021 Accepting new patients
Christiana Care Health Services Inc CurrentSince Feb 10, 2021 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Jewish Family Services of Delaware Clinical CurrentSince Sep 1, 2013 Accepting new patients
Christiana Care Health Services, Inc Past Accepting new patients
Psychotherapeutic Meditation Center, LLC. Clinical Past Accepting new patients
Christiana Care Health Services Inc Past Accepting new patients

Locations

100 Sunnyside Rd
#2
Smyrna, DE 19977
Phone (302) 653-1900

99 Passmore Rd
Wilmington, DE 19803
Phone (302) 478-9411

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/5c7467fb-60f9-4172-add4-57667a5dfcfa/

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449878400000",
    "number": "1740613223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 WOODLAND LN",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104054",
            "telephone_number": "302-388-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 PASSMORE DR",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198031548",
            "telephone_number": "302-478-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEN",
        "first_name": "SALILA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-19",
        "last_updated": "2015-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017393",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0001230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.