Clarencia Shade, LCSW
Social Worker, Clinical in Maplewood, New Jersey
1528376928- Practice location
- 2130 Millburn Ave, Suite D1, Maplewood, NJ 07040-3725
- Phone
- 973-763-8123
- Fax
- 973-763-8243
- Last updated
- September 20, 2010
Clarencia Shade is a Social Worker, Clinical based in Maplewood, NJ. Clarencia Shade practices in Maplewood, NJ and has the professional credentials of LCSW. The NPI Number for Clarencia Shade is 1528376928 and holds a License No. 44SC01016900 (NJ). The current practice location address for Clarencia Shade is 2130 Millburn Ave, Suite D1, Maplewood, NJ 07040-3725 and can be reached out via phone at 973-763-8123 and via fax at 973-763-8243.
Provider Profile Details
- NPI Number
- 1528376928
- Provider Name
- Clarencia Shade
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2130 Millburn Ave, Suite D1, Maplewood, NJ 07040-3725
- Phone Number
- 973-763-8123
- Fax Number
- 973-763-8243
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 20, 2010
- Last Update Date
- September 20, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2130 Millburn Ave
Suite D1
Maplewood, NJ 07040-3725 - City
- Maplewood
- State
- New Jersey
- Zip
- 07040-3725
- Phone Number
- 973-763-8123
- Fax Number
- 973-763-8243
Provider Business Mailing Address Details
- Address
- 2130 Millburn Ave
Suite D1
Maplewood, NJ 07040-3725 - City
- Maplewood
- State
- NJ
- Zip
- 07040-3725
- Phone Number
- 973-763-8123
- Fax Number
- 973-763-8243
License Information
- License Number
- 44SC01016900
- License State
- NJ
- Taxonomy
- Social Worker, Clinical · 1041C0700X · 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 Clarencia Shade, LCSW?
The NPI number of Clarencia Shade, LCSW is 1528376928. It was assigned on September 20, 2010 and is currently active in the NPPES registry.
What is the specialty of Clarencia Shade, LCSW?
Clarencia Shade, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC01016900.
Where does Clarencia Shade, LCSW practice?
The practice location is 2130 Millburn Ave, Suite D1, Maplewood, NJ 07040-3725. The office can be reached at 973-763-8123 (phone) or 973-763-8243 (fax).
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 1528376928 directly on the NPPES registry website.