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TATYANA O SHIELDS LCSW
NPI 1255877429
Social Worker - Clinical in Princeton, NJ

Active since January 12, 2017PECOS EnrolledAccepts Medicare Assignment
3495 US HIGHWAY 1 STE 34 #1140, PRINCETON, NJ 08540(732) 305-0335 Get Directions Write a Review

NPPES record last updated: October 18, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 28, 2025, Feb 9, 2023, Nov 6, 2022 and 5 more (8 updates tracked since 2017).

About Tatyana O Shields Lcsw NPPES

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

TATYANA O SHIELDS LCSW (NPI 1255877429) is an individual clinical provider in Princeton, New Jersey, licensed in New Jersey (44SC05995800) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1255877429
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTATYANA O SHIELDSCredential: LCSW
Location Address3495 US HIGHWAY 1 STE 34 #1140Princeton, NJ 08540-2603
Mailing Address3495 Us Highway 1 Ste 34 #1140Princeton, NJ 08540-2603 · (732) 305-0335
Phone(732) 305-0335
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 12, 2017
Last NPPES UpdateOctober 18, 20258 updates tracked since enumeration
NPPES CertifiedOctober 18, 2025
✔ NPI 1255877429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in NJ · 44SC05995800✔ Licensed in NY · 099773✔ Licensed in PA · CW022019
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.

Other Names 1

Former Name (1)Tatyana O Gray Lcsw

Secondary Practice Locations 3

Location 19 Town Garden Dr Apt 6Liverpool, NY 13088-8503 · Phone (732) 305-0336
Location 2515 Mount Prospect AveNewark, NJ 07104 · Phone (732) 305-0335
Location 31296 Lititz Pike # 1082Lancaster, PA 17601-4340 · Phone (732) 305-0335

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tatyana O Shields Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628460888
PECOS Enrollment IDI20220120000007
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 08540 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 $61.59 – $185.05
Typical copayment $0.00 (range $15.39 – $46.26)
Most-billed visit code NA
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

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 Tatyana Shields's NPI number?

The NPI number for Tatyana Shields is 1255877429. It was assigned to this individual provider in the NPPES registry on January 12, 2017. The provider is also known as Tatyana O Gray Lcsw.

Where is Tatyana Shields located?

Tatyana Shields practices at 3495 Us Highway 1 Ste 34 #1140, Princeton, NJ 08540. The listed phone number is (732) 305-0335.

What is Tatyana Shields's specialty?

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

Is Tatyana Shields enrolled in Medicare?

Yes. Tatyana Shields is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Tatyana Shields was last updated on October 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.