Alan Shaffery, LSW

Primary specialty

CounselorTaxonomy code 101Y00000X

License

44SL07042600 Issued in NJ

Practice address

1198 Lakewood Rd Ste 202
Toms River, NJ 08753-2243

Phone

(732) 605-6364

Fax

(732) 605-6364

NPI assigned

Jun 30, 2025

Last updated

Jun 30, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Counseling Center at Clark, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Clark, NJ
  • NPI 1245637578
  Medicare reassignment NPD
• Counseling Center at Fair Lawn, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fair Lawn, NJ
  • NPI 1407276975
  Medicare reassignment NPD
• Counseling Center at Freehold LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Freehold, NJ
  • NPI 1013269216
  Medicare reassignment NPD
• Counseling Center at Toms River LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Toms River, NJ
  • NPI 1326442971
  Medicare reassignment NPD

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

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1801785563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1198 LAKEWOOD RD STE 102",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532243",
            "telephone_number": "732-605-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1198 LAKEWOOD RD STE 202",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532243",
            "telephone_number": "732-605-6364",
            "fax_number": "732-605-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFERY",
        "first_name": "ALAN",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "44SL07042600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Serpico, LCSW
• Kamary Lyn Serrano, LSW
• John P Sersanti, MD
• Serv Achievement Centers, Inc
• Shahram Shadfar, DMD
• Bankim D Shah, MD
• Chirag M Shah, MD
• Dhanvanti B Shah, MD
• Dhiren A Shah, MD
• Khushbu Shah

• Counselor in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.