Active NPI
Shanita Blades, LMSW
- Social Worker
- Linden, NJ
National Provider Identifier
1871345181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 117432
- Practice address
- 1214 Bower St
Linden, NJ 07036-2547 - Phone
- (347) 645-5568
- NPI assigned
- Apr 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 117432 | NY | Primary |
Addresses
Primary practice location
1214 Bower St
Linden, NJ 07036-2547
Mailing address
1214 Bower St
Linden, NJ 07036-2547
Phone (347) 645-5568
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
| License | State | Type | Specialty |
|---|---|---|---|
| 117432 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712016000000",
"number": "1871345181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1214 BOWER ST",
"city": "LINDEN",
"state": "NJ",
"postal_code": "070362547",
"telephone_number": "347-645-5568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1214 BOWER ST",
"city": "LINDEN",
"state": "NJ",
"postal_code": "070362547",
"telephone_number": "347-645-5568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLADES",
"first_name": "SHANITA",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-02",
"last_updated": "2024-04-02",
"certification_date": "2024-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "117432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Linden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.