Shirley Bershad, MSW, LCSW

Key facts

NPI

1750433967

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Social Worker 1041C0700X

License

44SC00160300 (NJ)

Practice address

2100 Wescott Dr
HBH 5TH FL
Flemington, NJ 08822-4603

Phone

(908) 788-6401

Fax

(908) 788-6584

NPI assigned

Jan 17, 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)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750433967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 WESCOTT DR",
            "address_2": "HBH 5TH FL",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224603",
            "telephone_number": "908-788-6401",
            "fax_number": "908-788-6584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WESCOTT DR",
            "address_2": "HBH 5TH FL",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224603",
            "telephone_number": "908-788-6401",
            "fax_number": "908-788-6584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERSHAD",
        "first_name": "SHIRLEY",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00160300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tamara Joy Berisha, L.AC.
• Marie G Bernard, MD
• Samantha Bertelson, CPRS
• Ashley Berth, MA LPC
• Sumita Bery, MD
• Ted Bialy, MD
• Emily Lynne Bill, MS

All providers in Flemington, NJ · Clinical Social Worker in New Jersey