Mrs. Shannon T Edgeworth, LCSW
Social Worker, Clinical in Eatontown, New Jersey
1669151692- Practice location
- 200 Wyckoff Road, Eatontown, NJ 07724
- Phone
- 862-781-3755
- Fax
- 732-389-6065
- Last updated
- July 17, 2023
Shannon T Edgeworth is a Social Worker, Clinical based in Eatontown, NJ. Shannon T Edgeworth practices in Eatontown, NJ and has the professional credentials of LCSW. The NPI Number for Shannon T Edgeworth is 1669151692 and holds a License No. 44SC06106800 (NJ). The current practice location address for Shannon T Edgeworth is 200 Wyckoff Road, Eatontown, NJ 07724 and can be reached out via phone at 862-781-3755 and via fax at 732-389-6065.
Provider Profile Details
- NPI Number
- 1669151692
- Provider Name
- Shannon T Edgeworth
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 200 Wyckoff Road, Eatontown, NJ 07724
- Phone Number
- 862-781-3755
- Fax Number
- 732-389-6065
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Other Names
- Shannon T Otten, LCSW (Former Name)
- Provider Enumeration Date
- July 17, 2023
- Last Update Date
- July 17, 2023
- Certification Date
- July 12, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 200 Wyckoff Road
Eatontown, NJ 07724 - City
- Eatontown
- State
- New Jersey
- Zip
- 07724
- Phone Number
- 862-781-3755
- Fax Number
- 732-389-6065
Provider Business Mailing Address Details
- Address
- 200 Wyckoff Road
Eatontown, NJ 07724 - City
- Eatontown
- State
- NJ
- Zip
- 07724
- Phone Number
- 862-781-3755
- Fax Number
- 732-389-6065
License Information
- License Number
- 44SC06106800
- 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 Mrs. Shannon T Edgeworth, LCSW?
The NPI number of Mrs. Shannon T Edgeworth, LCSW is 1669151692. It was assigned on July 17, 2023 and is currently active in the NPPES registry.
What is the specialty of Mrs. Shannon T Edgeworth, LCSW?
Mrs. Shannon T Edgeworth, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC06106800.
Where does Mrs. Shannon T Edgeworth, LCSW practice?
The practice location is 200 Wyckoff Road, Eatontown, NJ 07724. The office can be reached at 862-781-3755 (phone) or 732-389-6065 (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 1669151692 directly on the NPPES registry website.