Individual provider Active NPI

Judith Johnson-Shupe, LCSW

  • Counselor
  • Lewes, DE
National Provider Identifier
1780210740
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
Q10001668 Issued in DE
Practice address
33664 Bayview Medical Dr Ste 203
Lewes, DE 19958-1933
Phone
(302) 645-1099
Fax
(855) 556-6341
NPI assigned
Mar 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2026

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 0904014008 VA
Counselor 101Y00000X Q10001668 DE Primary

Addresses

Primary practice location

33664 Bayview Medical Dr Ste 203
Lewes, DE 19958-1933

Mailing address

1515 Savannah Rd FL 2
Lewes, DE 19958-1675
Phone (302) 645-3499

Other practice location 1

21635 Biden Ave Unit 1
Georgetown, DE 19947-4574
Phone (302) 645-1099

Other practice location 2

32050 Long Neck Rd
Millsboro, DE 19966-6228
Phone (302) 645-1099

Other practice location 3

17644 Coastal Hwy Ste 1
Lewes, DE 19958-6257
Phone (302) 416-2116

Other practice location 4

1080 First Colonial Rd Ste 200
Virginia Beach, VA 23454-2406
Phone (757) 395-6630

Other practice location 5

701 Savannah Rd Ste B
Lewes, DE 19958-1550
Phone (302) 645-1099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200811000019 DE Practitioner - Clinical Social Worker 7214352053 Reassigns benefits to 2 organizations
I20220802003921 VA Practitioner - Clinical Social Worker 7214352053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Beebe Physician Network Inc.Group PAC ID 5496744864, 301 clinicians

Practice addresses (Care Compare)

33663 Bayview Medical Dr
Unit 2
Lewes, DE 19958-1663
Phone (302) 645-9325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
Q10001668DEMDCounselor
0904014008VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group CurrentSince Aug 15, 2022 Accepting new patients
Jewish Family Services of Delaware Clinical CurrentSince Aug 1, 2020 Accepting new patients
Beebe Physician Network Inc. CurrentSince Nov 7, 2022 Accepting new patients
Salfi'S Old-Fashioned Psychiatry, LLC PastSince Mar 22, 2020 Accepting new patients
Beebe Physician Network, Inc. PastSince Sep 17, 2023 Accepting new patients

Locations

21635 Biden Ave
Unit 1
Georgetown, DE 19947
Phone (302) 645-1099

33664 Bayview Medical Dr
Ste 203
Lewes, DE 19958
Phone (302) 645-1099

20684 John J Williams Hwy
Ste 4
Lewes, DE 19958
Phone (302) 478-9411

1515 Savannah Rd
Fl 2
Lewes, DE 19958

33663 Bayview Medical Dr
#2
Lewes, DE 19958
Phone (302) 645-9325

701 Savannah Rd
Ste B
Lewes, DE 19958
Phone (302) 645-1099

32050 Long Neck Rd
Millsboro, DE 19966
Phone (302) 645-3150

32550 Docs Pl
Unit 2
Millville, DE 19967
Phone (302) 539-4302

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

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

1080 First Colonial Rd
Ste 200
Virginia Beach, VA 23454
Phone (757) 395-6070

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6835/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1584662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1780210740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 SAVANNAH RD FL 2",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581675",
            "telephone_number": "302-645-3499",
            "fax_number": "302-644-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33664 BAYVIEW MEDICAL DR STE 203",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581933",
            "telephone_number": "302-645-1099",
            "fax_number": "855-556-6341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21635 Biden Ave Unit 1",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "DE",
            "postal_code": "199474574",
            "country_code": "US",
            "telephone_number": "302-645-1099",
            "fax_number": "855-556-6341",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "32050 Long Neck Rd",
            "address_purpose": "LOCATION",
            "city": "Millsboro",
            "state": "DE",
            "postal_code": "199666228",
            "country_code": "US",
            "telephone_number": "302-645-1099",
            "fax_number": "855-556-6341",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17644 Coastal Hwy Ste 1",
            "address_purpose": "LOCATION",
            "city": "Lewes",
            "state": "DE",
            "postal_code": "199586257",
            "country_code": "US",
            "telephone_number": "302-416-2116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1080 First Colonial Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234542406",
            "country_code": "US",
            "telephone_number": "757-395-6630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Savannah Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Lewes",
            "state": "DE",
            "postal_code": "199581550",
            "country_code": "US",
            "telephone_number": "302-645-1099",
            "fax_number": "855-556-6341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON-SHUPE",
        "first_name": "JUDITH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-20",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904014008",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "DE",
            "license": "Q10001668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

Verify at the official NPI Registry.