Organization Active NPI

Shore Family Counseling

  • Clinical Social Worker
  • Sea Girt, NJ
National Provider Identifier
1780123315
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05671800 Issued in NJ
Legal business name
SHORE FAMILY COUNSELING
Practice address
2164 Highway 35
Building C, Suite 7
Sea Girt, NJ 08750-1013
Phone
(908) 370-5665
NPI assigned
Feb 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Authorized official

Name
Mrs. Erica Hansen, LCSWNPI 1316283997
Title
Owner
Phone
(908) 370-5665

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 44SC05671800 NJ Primary

Addresses

Primary practice location

2164 Highway 35
Building C, Suite 7
Sea Girt, NJ 08750-1013

Mailing address

216 Hawthorne St
Neptune, NJ 07753-3920

National Provider Directory

National Provider Directory

Locations

2164 Highway 35
Ste 7
Sea Girt, NJ 08750
Phone (908) 370-5665

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1780123315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 HAWTHORNE ST",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077533920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2164 HIGHWAY 35",
            "address_2": "BUILDING C, SUITE 7",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "087501013",
            "telephone_number": "908-370-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE FAMILY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-15",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-370-5665",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05671800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sea Girt, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.