Active NPIIndividual providerSole proprietor

Jerri Shankler, MSW LCSW LCADC

Social Worker, Clinical in Pine Brook, New Jersey

NPI Number1770596264
Practice location
339 Changebridge RD Ste 1A, Pine Brook, NJ 07058-9577
Fax
973-808-0089
Last updated
April 29, 2010

Jerri Shankler is a Social Worker, Clinical based in Pine Brook, NJ. Jerri Shankler practices in Pine Brook, NJ and has the professional credentials of MSW LCSW LCADC. The NPI Number for Jerri Shankler is 1770596264 and holds a License No. 44SC04391600 (NJ). The current practice location address for Jerri Shankler is 339 Changebridge RD Ste 1A, Pine Brook, NJ 07058-9577 and can be reached out via phone at 201-452-1432 and via fax at 973-808-0089.

Provider Profile Details

NPI Number
1770596264
Provider Name
Jerri Shankler
Credential
MSW LCSW LCADC
Provider Entity Type
Individual
Gender
Female
Address
339 Changebridge RD Ste 1A, Pine Brook, NJ 07058-9577
Phone Number
201-452-1432
Fax Number
973-808-0089
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
August 14, 2006
Last Update Date
April 29, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
339 Changebridge RD Ste 1A
Pine Brook, NJ 07058-9577
Zip
07058-9577
Phone Number
201-452-1432
Fax Number
973-808-0089
Pine Brook, NJ 07058Get directions →

Provider Business Mailing Address Details

Address
25 Valley Dr
Glenwood, NJ 07418-1657
City
Glenwood
State
NJ
Zip
07418-1657
Phone Number
201-452-1432
Fax Number
973-808-0089

License Information

License Number (1)
44SC04391600
License State (1)
NJ
Taxonomy (1)
Social Worker, Clinical · 1041C0700X · Primary
License Number (2)
37LC00071500
License State (2)
NJ

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 Jerri Shankler, MSW LCSW LCADC?

The NPI number of Jerri Shankler, MSW LCSW LCADC is 1770596264. It was assigned on August 14, 2006 and is currently active in the NPPES registry.

What is the specialty of Jerri Shankler, MSW LCSW LCADC?

Jerri Shankler, MSW LCSW LCADC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC04391600.

Where does Jerri Shankler, MSW LCSW LCADC practice?

The practice location is 339 Changebridge RD Ste 1A, Pine Brook, NJ 07058-9577. The office can be reached at 201-452-1432 (phone) or 973-808-0089 (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 1770596264 directly on the NPPES registry website.

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