Individual provider Active NPI

Shala Staple, LSW, MSW, SSW-CERT.

  • Social Worker
  • Eatontown, NJ
National Provider Identifier
1811845373
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL07428300 Issued in NJ
Practice address
61 James Way
Eatontown, NJ 07724-2272
Phone
(609) 301-0851
NPI assigned
Mar 19, 2026
Last updated
Mar 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL07428300 NJ Primary

Addresses

Primary practice location

61 James Way
Eatontown, NJ 07724-2272

Mailing address

61 James Way
Eatontown, NJ 07724-2272
Phone (609) 301-0851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SL07428300NJMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1773878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1811845373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 JAMES WAY",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242272",
            "telephone_number": "609-301-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 JAMES WAY",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242272",
            "telephone_number": "609-301-0851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAPLE",
        "first_name": "SHALA",
        "credential": "LSW, MSW, SSW-CERT.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-19",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL07428300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.