Individual provider Active NPI

Megan Maria Shane, LSW

  • Social Worker
  • Hamilton, NJ
National Provider Identifier
1841968666
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
2083 Klockner Rd
Hamilton, NJ 08690-3415
Phone
(609) 222-4902
NPI assigned
Sep 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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 Primary

Addresses

Primary practice location

2083 Klockner Rd
Hamilton, NJ 08690-3415

Mailing address

2083 Klockner Rd
Hamilton, NJ 08690-3415

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Therapynotes.com MIND YOUR MIND

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240821001238 NJ Practitioner - Clinical Social Worker 9830637842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifebulb LLCGroup PAC ID 2062881162, 97 clinicians

Practice addresses (Care Compare)

505 Main St
Toms River, NJ 08753-7443
Phone (732) 272-0127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lifebulb LLC CurrentSince Jun 3, 2024 Accepting new patients
Mind Your Mind CurrentSince Sep 12, 2021 Accepting new patients
Thrive Counseling LLC CurrentSince Jun 3, 2024 Accepting new patients

Locations

3 Lincoln Hwy
Ste 102A
Edison, NJ 08820

505 Main St
Toms River, NJ 08753
Phone (732) 272-0127

2083 Klockner Rd
Trenton, NJ 08690
Phone (609) 222-4902

Organizations & group practices 3

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": "1630886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1841968666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2083 KLOCKNER RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2083 KLOCKNER RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903415",
            "telephone_number": "609-222-4902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANE",
        "first_name": "MEGAN",
        "middle_name": "MARIA",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-06",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Therapynotes.com",
            "affiliation": "Y",
            "affiliationName": "MIND YOUR MIND",
            "address_1": "2083 Klockner Rd",
            "city": "Hamilton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086903415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

Verify at the official NPI Registry.