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MR. BASHEER AHMAD SHABAZZ LCSW
NPI 1235439860
Social Worker - Clinical in Elizabeth, NJ

Active since October 29, 2010PECOS Enrolled
654 E JERSEY ST, ELIZABETH, NJ 07206(908) 296-0724 Get Directions Write a Review

NPPES record last updated: April 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Basheer Ahmad Shabazz Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. BASHEER AHMAD SHABAZZ LCSW (NPI 1235439860) is an individual clinical provider in Elizabeth, New Jersey, licensed in New Jersey (44SC05540800) and active in the NPI registry since October 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235439860
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. BASHEER AHMAD SHABAZZCredential: LCSW
Location Address654 E JERSEY STElizabeth, NJ 07206-1261
Mailing AddressPo Box 1901Linden, NJ 07036-0009 · (908) 296-0724
Phone(908) 296-0724
Sole ProprietorYes
Enumeration DateOctober 29, 2010
Last NPPES UpdateApril 13, 2020
NPPES CertifiedApril 13, 2020
✔ NPI 1235439860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NJ · 44SC05540800
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial Worker · SchoolTaxonomy 1041S0200X · License 792613 (NJ)
654 E JERSEY ST, Elizabeth, NJ 07206
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Other Identifiers 1

Medicaid0404845NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Basheer Ahmad Shabazz Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07206 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $63.84 – $190.92
Typical copayment $0.00 (range $15.96 – $47.73)
Most-billed visit code NA
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ROCCO BRISCESE MALPC
Counselor (Addiction (Substance Use Disorder))
654 E JERSEY ST
ELIZABETH, NJ 07206
Union County (908) 994-7233
MRS. LISA ROSE MCDERMOTT LSW, LCADC
Social Worker
654 E JERSEY ST
ELIZABETH, NJ 07206
Union County (908) 994-7552
TRINITAS REGIONAL MEDICAL CENTER
General Acute Care Hospital
654 E JERSEY ST
ELIZABETH, NJ 07206
Union County (908) 994-7552
JENNA RAE MCCOOK LCSW
Social Worker
654 E JERSEY ST
ELIZABETH, NJ 07206
Union County (908) 994-7271
TRINITAS REGIONAL MEDICAL CENTER
Psychiatric Hospital
654 E JERSEY ST
ELIZABETH, NJ 07206
Union County (908) 994-7290
MS. MARIA C FIGUEROA LPC
Counselor (Professional)
654 E JERSEY ST
ELIZABETH, NJ 07206
Union County (908) 994-7335
JO-ANN MAY TAN
Social Worker
654 E JERSEY ST
ELIZABETH, NJ 07206
Union County (908) 994-7165
JUDITH A. DEBLASIO LSW
Social Worker
654 E JERSEY ST
ELIZABETH, NJ 07206
Union County (908) 994-7079

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Basheer Shabazz's NPI number?

The NPI number for Basheer Shabazz is 1235439860. It was assigned to this individual provider in the NPPES registry on October 29, 2010.

Where is Basheer Shabazz located?

Basheer Shabazz practices at 654 E Jersey St, Elizabeth, NJ 07206. The listed phone number is (908) 296-0724.

What is Basheer Shabazz's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Basheer Shabazz enrolled in Medicare?

Yes. Basheer Shabazz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Basheer Shabazz was last updated on April 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.