Individual provider Active NPI

Shae Cali, LCSW

  • Clinical Social Worker
  • Montclair, NJ
National Provider Identifier
1912412123
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05770400 Issued in NJ
Practice address
36 Park St
Montclair, NJ 07042-3440
Phone
(973) 355-7115
NPI assigned
Dec 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05770400 NJ Primary

Addresses

Primary practice location

36 Park St
Montclair, NJ 07042-3440

Mailing address

36 Park St
Montclair, NJ 07042-3440

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
I20180426002395 NJ Practitioner - Clinical Social Worker 6103189485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

36 Park St
Montclair, NJ 07042-3440
Phone (201) 815-8798

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05770400NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Prism Counseling and Consulting Clinical CurrentSince Feb 13, 2018 Accepting new patients

Locations

36 Park St
Montclair, NJ 07042
Phone (973) 378-5641

Organizations & group practices 1

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": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1912412123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 PARK ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 PARK ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423440",
            "telephone_number": "973-355-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALI",
        "first_name": "SHAE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-11",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05770400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

Verify at the official NPI Registry.