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TONI SHY LCSW
NPI 1326583055
Social Worker - Clinical in Englewood, NJ

Active since January 04, 2017PECOS EnrolledAccepts Medicare Assignment
94.95/100
CMS Quality Rating
370 GRAND AVE, SUITE 101, ENGLEWOOD, NJ 07631(516) 639-5582 Get Directions Write a Review

NPPES record last updated: January 4, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Toni Shy Lcsw NPPES

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

TONI SHY LCSW (NPI 1326583055) is an individual clinical provider in Englewood, New Jersey, licensed in New Jersey (44SC05709200) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1326583055
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTONI SHYCredential: LCSW
Location Address370 GRAND AVE, SUITE 101Englewood, NJ 07631-4154
Mailing Address303 W Englewood AveTeaneck, NJ 07666-2851 · (516) 639-5582
Phone(516) 639-5582
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJanuary 4, 2017
✔ NPI 1326583055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NJ · 44SC05709200
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.
370 GRAND AVE, Englewood, NJ 07631
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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

Toni Shy 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 ID8022273846
PECOS Enrollment IDI20180709002984
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
169 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07631 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.26
Promoting Interoperability100
Improvement Activities40

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.

ENGLEWOOD OB GYN ASSOCIATES, PC
Obstetrics & Gynecology (Gynecology)
370 GRAND AVE, SUITE 202
ENGLEWOOD, NJ 07631
Bergen County (201) 894-9599
ASSOCIATED FOOT & ANKLE SPECIALISTS, LLC
Podiatrist (Foot & Ankle Surgery)
370 GRAND AVE, SUITE 101
ENGLEWOOD, NJ 07631
Bergen County (201) 816-8778
DR. JOSEPH CARLO D'AMORE D.D.S.
Dentist (General Practice)
370 GRAND AVE, SUITE 200
ENGLEWOOD, NJ 07631
Bergen County (201) 871-3555
DR. CARLOS ALBERTO QUEZADA M.D.
Family Medicine
370 GRAND AVE, 102
ENGLEWOOD, NJ 07631
Bergen County (201) 567-3370
JEFFREY MARTIN MITCHEL M.D.
Internal Medicine (Cardiovascular Disease)
370 GRAND AVE
ENGLEWOOD, NJ 07631
Bergen County (201) 567-7576
DR. EBBEN WILL SMITH M.D.
Internal Medicine
370 GRAND AVE, SUITE 102
ENGLEWOOD, NJ 07631
Bergen County (201) 567-3370
DR. KASING HO MD
Internal Medicine
370 GRAND AVE
ENGLEWOOD, NJ 07631
Bergen County (201) 569-8786
DR. WENDY R. HURST MD, FACOG
Legal Medicine
370 GRAND AVE, SUITE 202
ENGLEWOOD, NJ 07631
Bergen County (201) 894-9599

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 Toni Shy's NPI number?

The NPI number for Toni Shy is 1326583055. It was assigned to this individual provider in the NPPES registry on January 4, 2017.

Where is Toni Shy located?

Toni Shy practices at 370 Grand Ave Suite 101, Englewood, NJ 07631. The listed phone number is (516) 639-5582.

What is Toni Shy's specialty?

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

Is Toni Shy enrolled in Medicare?

Yes. Toni Shy 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.

What insurance does Toni Shy accept?

Health plans from Providence Health Plan list Toni Shy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Toni Shy was last updated on January 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.