Jerri Shankler, MSW LCSW LCADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC04391600 Issued in NJ

Practice address

339 Changebridge Rd Ste 1a
Pine Brook, NJ 07058-9577

Phone

(201) 452-1432

Fax

(973) 808-0089

NPI assigned

Aug 14, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jerri Shankler MSW LCSW Lcadc

  • Clinical Social Worker
  • Glenwood, NJ
  • NPI 1750516027

  Clinical

  NPD (past) Authorized official

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272499200000",
    "number": "1770596264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 VALLEY DR",
            "city": "GLENWOOD",
            "state": "NJ",
            "postal_code": "074181657",
            "telephone_number": "201-452-1432",
            "fax_number": "973-808-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 CHANGEBRIDGE RD STE 1A",
            "city": "PINE BROOK",
            "state": "NJ",
            "postal_code": "070589577",
            "telephone_number": "201-452-1432",
            "fax_number": "973-808-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANKLER",
        "first_name": "JERRI",
        "credential": "MSW LCSW LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2010-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04391600",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00071500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Sanders, PT, DPT
• Dina Scalero, LCSW
• Lisa Sebro, MSW
• Sulamif Seewald, MS/CCC/SLP
• Self Empowering Journeys, LLC
• Rachelle Claire Simons, M.A. CCC-SLP
• Siparadigm LLC
• Brian Solinsky
• Julie Solinsky, D.C.
• Janelle Sous, CCC-SLP

• All providers in Pine Brook, NJ
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.