Supportive Care Management, LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

0450052392 Issued in NJ

Legal business name

SUPPORTIVE CARE MANAGEMENT, LLC

Practice address

200 Rhawn St Apt 3203
Delanco, NJ 08075-4672

Phone

(732) 213-5031

Fax

(856) 262-1204

NPI assigned

Feb 16, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Shade DicksonNPI 1497137897

Title

Ceo

Phone

(856) 262-1200

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Shade Dickson

  • Case Manager/Care Coordinator
  • Williamstown, NJ
  • NPI 1497137897
  NPD Authorized official

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751932800000",
    "number": "1821457060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 RHAWN ST APT 3203",
            "city": "DELANCO",
            "state": "NJ",
            "postal_code": "080754672",
            "telephone_number": "732-213-5031",
            "fax_number": "856-262-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 RHAWN ST APT 3203",
            "city": "DELANCO",
            "state": "NJ",
            "postal_code": "080754672",
            "telephone_number": "732-213-5031",
            "fax_number": "856-262-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVE CARE MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-16",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A",
        "authorized_official_last_name": "DICKSON",
        "authorized_official_first_name": "SHADE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "856-262-1200",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NJ",
            "license": "0450052392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Friends of Cyrus Inc
• Ian Clark Hood, MB, CHB,
• Robert E Leibowitz, M.D.
• Jaclyn Phillips, CCC-SLP
• John B Silvaria, RN/PTA
• The Arc of Burlington County, Inc.
• The Arc of Burlington County, Inc.
• Erika Wible

• All providers in Delanco, NJ
• Case Management Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; 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.