Tatyana O Shields, LCSW
Social Worker, Clinical in Princeton, New Jersey
1255877429- Practice location
- 3495 US Highway 1 Ste 34 #1140, Princeton, NJ 08540-2603
- Phone
- 732-305-0335
- Fax
- —
- Last updated
- October 18, 2025
Tatyana O Shields is a Social Worker, Clinical based in Princeton, NJ. Tatyana O Shields practices in Princeton, NJ and has the professional credentials of LCSW. The NPI Number for Tatyana O Shields is 1255877429 and holds a License No. 44sc05995800 (NJ). The current practice location address for Tatyana O Shields is 3495 US Highway 1 Ste 34 #1140, Princeton, NJ 08540-2603 and can be reached out via phone at 732-305-0335.
Provider Profile Details
- NPI Number
- 1255877429
- Provider Name
- Tatyana O Shields
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 3495 US Highway 1 Ste 34 #1140, Princeton, NJ 08540-2603
- Phone Number
- 732-305-0335
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Other Names
- Tatyana O Gray, LCSW (Former Name)
- Provider Enumeration Date
- January 12, 2017
- Last Update Date
- October 18, 2025
- Certification Date
- October 18, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3495 US Highway 1 Ste 34 #1140
Princeton, NJ 08540-2603 - City
- Princeton
- State
- New Jersey
- Zip
- 08540-2603
- Phone Number
- 732-305-0335
Provider Business Mailing Address Details
- Address
- 3495 US Highway 1 Ste 34 #1140
Princeton, NJ 08540-2603 - City
- Princeton
- State
- NJ
- Zip
- 08540-2603
- Phone Number
- 732-305-0335
License Information
- License Number (1)
- 44sc05995800
- License State (1)
- NJ
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X · Primary
- License Number (2)
- 099773
- License State (2)
- NY
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X
- License Number (3)
- CW022019
- License State (3)
- PA
- Taxonomy (3)
- Social Worker, Clinical · 1041C0700X
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 Tatyana O Shields, LCSW?
The NPI number of Tatyana O Shields, LCSW is 1255877429. It was assigned on January 12, 2017 and is currently active in the NPPES registry.
What is the specialty of Tatyana O Shields, LCSW?
Tatyana O Shields, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44sc05995800.
Where does Tatyana O Shields, LCSW practice?
The practice location is 3495 US Highway 1 Ste 34 #1140, Princeton, NJ 08540-2603. The office can be reached at 732-305-0335 (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 1255877429 directly on the NPPES registry website.