Active NPIIndividual providerSole proprietor

Amanda Shaw

Social Worker, Clinical in Bloomfield, New Jersey

NPI Number1851934475
Practice location
1012 Broad St, Bloomfield, NJ 07003-2807
Fax
—
Last updated
January 24, 2020

Amanda Shaw is a Social Worker, Clinical based in Bloomfield, NJ. Amanda Shaw practices in Bloomfield, NJ. The NPI Number for Amanda Shaw is 1851934475 and holds a License No. 44SC05879200 (NJ). The current practice location address for Amanda Shaw is 1012 Broad St, Bloomfield, NJ 07003-2807 and can be reached out via phone at 973-338-1244.

Provider Profile Details

NPI Number
1851934475
Provider Name
Amanda Shaw
Provider Entity Type
Individual
Gender
Female
Address
1012 Broad St, Bloomfield, NJ 07003-2807
Phone Number
973-338-1244
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
October 27, 2019
Last Update Date
January 24, 2020
Certification Date
January 24, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1012 Broad St
Bloomfield, NJ 07003-2807
Zip
07003-2807
Phone Number
973-338-1244
Bloomfield, NJ 07003Get directions →

Provider Business Mailing Address Details

Address
90 Forsythia Ln
Paramus, NJ 07652-4334
City
Paramus
State
NJ
Zip
07652-4334
Phone Number
201-575-5001

License Information

License Number (1)
44SC05879200
License State (1)
NJ
Taxonomy (1)
Social Worker, Clinical · 1041C0700X · Primary
Taxonomy (2)
Social Worker, Clinical · 1041C0700X

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 Amanda Shaw?

The NPI number of Amanda Shaw is 1851934475. It was assigned on October 27, 2019 and is currently active in the NPPES registry.

What is the specialty of Amanda Shaw?

Amanda Shaw is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05879200.

Where does Amanda Shaw practice?

The practice location is 1012 Broad St, Bloomfield, NJ 07003-2807. The office can be reached at 973-338-1244 (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 1851934475 directly on the NPPES registry website.

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