Samuel Shields, LAC
Counselor, Mental Health in Trenton, New Jersey
1063259182- Practice location
- 217 E Hanover St, Trenton, NJ 08608-1803
- Phone
- 609-515-8411
- Fax
- —
- Last updated
- July 15, 2024
Samuel Shields is a Counselor, Mental Health based in Trenton, NJ. Samuel Shields practices in Trenton, NJ and has the professional credentials of LAC. The NPI Number for Samuel Shields is 1063259182 and holds a License No. 37AC00679300 (NJ). The current practice location address for Samuel Shields is 217 E Hanover St, Trenton, NJ 08608-1803 and can be reached out via phone at 609-515-8411.
Provider Profile Details
- NPI Number
- 1063259182
- Provider Name
- Samuel Shields
- Credential
- LAC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 217 E Hanover St, Trenton, NJ 08608-1803
- Phone Number
- 609-515-8411
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 15, 2024
- Last Update Date
- July 15, 2024
- Certification Date
- July 15, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 217 E Hanover St
Trenton, NJ 08608-1803 - City
- Trenton
- State
- New Jersey
- Zip
- 08608-1803
- Phone Number
- 609-515-8411
Provider Business Mailing Address Details
- Address
- 2303 Country Ln
Ewing, NJ 08628-3333 - City
- Ewing
- State
- NJ
- Zip
- 08628-3333
- Phone Number
- 609-273-8343
License Information
- License Number
- 37AC00679300
- License State
- NJ
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Samuel Shields, LAC?
The NPI number of Samuel Shields, LAC is 1063259182. It was assigned on July 15, 2024 and is currently active in the NPPES registry.
What is the specialty of Samuel Shields, LAC?
Samuel Shields, LAC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37AC00679300.
Where does Samuel Shields, LAC practice?
The practice location is 217 E Hanover St, Trenton, NJ 08608-1803. The office can be reached at 609-515-8411 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063259182 directly on the NPPES registry website.