1. Home
  2. Directory
  3. New Jersey
  4. Eatontown
  5. Social Worker
  6. NPI Profile

MRS. SHANNON T EDGEWORTH LCSW
NPI 1669151692
Social Worker - Clinical in Eatontown, NJ

Active since July 17, 2023PECOS Enrolled
200 WYCKOFF ROAD, EATONTOWN, NJ 07724(862) 781-3755(732) 389-6065 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Shannon T Edgeworth Lcsw NPPES

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

MRS. SHANNON T EDGEWORTH LCSW (NPI 1669151692) is an individual clinical provider in Eatontown, New Jersey, licensed in New Jersey (44SC06106800) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669151692
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. SHANNON T EDGEWORTHCredential: LCSW
Location Address200 WYCKOFF ROADEatontown, NJ 07724
Mailing Address200 Wyckoff RoadEatontown, NJ 07724 · (862) 781-3755 · Fax (732) 389-6065
Phone(862) 781-3755
Fax(732) 389-6065
Sole ProprietorNo
Enumeration DateJuly 17, 2023
NPPES CertifiedJuly 12, 2023
✔ NPI 1669151692 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 · 44SC06106800
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.
200 WYCKOFF ROAD, Eatontown, NJ 07724
Open in Google Maps ↗

Other Names 1

Former Name (1)Shannon T Otten Lcsw

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Shannon T Edgeworth 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 07724 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.

Other Providers at the Same Location NPPES 5

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

MRS. SETON ELIZABETH CUCCIO LCSW
Social Worker (Clinical)
200 WYCKOFF ROAD, 3RD FLOOR
EATONTOWN, NJ 07724
Monmouth County (862) 781-3755
DR. ASHWIN AGRAWAL D.O.
Pediatrics (Pediatric Gastroenterology)
200 WYCKOFF ROAD, SUITE 4200
EATONTOWN, NJ 07724
Monmouth County (732) 923-6080
MRS. ELIZABETH ANNE DUNIGAN LCSW
Counselor (Mental Health)
200 WYCKOFF ROAD
EATONTOWN, NJ 07724
Monmouth County (732) 923-5573
CHARLES WILLIAM CONCODORA M.D.
Urology (Pediatric Urology)
200 WYCKOFF ROAD, SUITE 4500
EATONTOWN, NJ 07724
Monmouth County (732) 235-7960
MVP MEDICAL ASSOCIATES, PA
Clinic/Center (Urgent Care)
200 WYCKOFF ROAD
EATONTOWN, NJ 07724
Monmouth County (732) 531-0100

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 Shannon Edgeworth's NPI number?

The NPI number for Shannon Edgeworth is 1669151692. It was assigned to this individual provider in the NPPES registry on July 17, 2023. The provider is also known as Shannon T Otten Lcsw.

Where is Shannon Edgeworth located?

Shannon Edgeworth practices at 200 Wyckoff Road, Eatontown, NJ 07724. The listed phone number is (862) 781-3755.

What is Shannon Edgeworth's specialty?

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

Is Shannon Edgeworth enrolled in Medicare?

Yes. Shannon Edgeworth is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannon Edgeworth was last updated on July 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.