Active NPIIndividual providerSole proprietor

Shannon M Pavas, LCSW

Social Worker, Clinical in Cresskill, New Jersey

NPI Number1679070023
Practice location
155 County RD, Cresskill, NJ 07626-2200
Fax
—
Last updated
April 11, 2018

Shannon Marie Pavas is a Social Worker, Clinical based in Cresskill, NJ. Shannon Marie Pavas practices in Cresskill, NJ and has the professional credentials of LCSW. The NPI Number for Shannon Marie Pavas is 1679070023 and holds a License No. 44SC05779900 (NJ). The current practice location address for Shannon Marie Pavas is 155 County RD, Cresskill, NJ 07626-2200 and can be reached out via phone at 201-803-9433.

Provider Profile Details

NPI Number
1679070023
Provider Name
Shannon Marie Pavas
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
155 County RD, Cresskill, NJ 07626-2200
Phone Number
201-803-9433
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
April 11, 2018
Last Update Date
April 11, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
155 County RD
Cresskill, NJ 07626-2200
Zip
07626-2200
Phone Number
201-803-9433
Cresskill, NJ 07626Get directions →

Provider Business Mailing Address Details

Address
98 Ames Ave
Bergenfield, NJ 07621-1564
City
Bergenfield
State
NJ
Zip
07621-1564
Phone Number
201-803-9433

License Information

License Number
44SC05779900
License State
NJ
Taxonomy
Social Worker, Clinical · 1041C0700X · 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 Shannon M Pavas, LCSW?

The NPI number of Shannon M Pavas, LCSW is 1679070023. It was assigned on April 11, 2018 and is currently active in the NPPES registry.

What is the specialty of Shannon M Pavas, LCSW?

Shannon M Pavas, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05779900.

Where does Shannon M Pavas, LCSW practice?

The practice location is 155 County RD, Cresskill, NJ 07626-2200. The office can be reached at 201-803-9433 (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 1679070023 directly on the NPPES registry website.

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