Active NPIIndividual provider

Shantah Easley, LCSW

Counselor, Professional in Kearny, New Jersey

NPI Number1275256026
Practice location
78 John Miller Way, Kearny, NJ 07032-6500
Fax
—
Last updated
September 26, 2022

Shantah Easley is a Counselor, Professional based in Kearny, NJ. Shantah Easley practices in Kearny, NJ and has the professional credentials of LCSW. The NPI Number for Shantah Easley is 1275256026 and holds a License No. 44SC05959500 (NJ). The current practice location address for Shantah Easley is 78 John Miller Way, Kearny, NJ 07032-6500 and can be reached out via phone at 855-500-3848.

Provider Profile Details

NPI Number
1275256026
Provider Name
Shantah Easley
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
78 John Miller Way, Kearny, NJ 07032-6500
Phone Number
855-500-3848
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
No
Provider Enumeration Date
September 26, 2022
Last Update Date
September 26, 2022
Certification Date
September 21, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
78 John Miller Way
Kearny, NJ 07032-6500
City
Kearny
Zip
07032-6500
Phone Number
855-500-3848
Kearny, NJ 07032Get directions →

Provider Business Mailing Address Details

Address
78 John Miller Way
Kearny, NJ 07032-6500
City
Kearny
State
NJ
Zip
07032-6500
Phone Number
855-500-3848

License Information

License Number
44SC05959500
License State
NJ
Taxonomy
Counselor, Professional · 101YP2500X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Shantah Easley, LCSW?

The NPI number of Shantah Easley, LCSW is 1275256026. It was assigned on September 26, 2022 and is currently active in the NPPES registry.

What is the specialty of Shantah Easley, LCSW?

Shantah Easley, LCSW is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in NJ under license number 44SC05959500.

Where does Shantah Easley, LCSW practice?

The practice location is 78 John Miller Way, Kearny, NJ 07032-6500. The office can be reached at 855-500-3848 (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 1275256026 directly on the NPPES registry website.

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