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: October 25, 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
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

Other Names 1

Former Name (1)Shannon T Otten Lcsw

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Shannon Edgeworth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Specialist
95 OLD SHORT HILLS RD
West Orange, NJ 07052
  • Reassigned Medicare billing, New Jersey enrollment
  • 757 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Social Worker (Clinical)
200 WYCKOFF ROAD, 3RD FLOOR
EATONTOWN, NJ 07724
Pediatrics (Pediatric Gastroenterology)
200 WYCKOFF ROAD, SUITE 4200
EATONTOWN, NJ 07724
Counselor (Mental Health)
200 WYCKOFF ROAD
EATONTOWN, NJ 07724
Urology (Pediatric Urology)
200 WYCKOFF ROAD, SUITE 4500
EATONTOWN, NJ 07724
Clinic/Center (Urgent Care)
200 WYCKOFF ROAD
EATONTOWN, NJ 07724

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.

Which organization bills Medicare for Shannon Edgeworth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Edgeworth reassigns Medicare benefits to Barnabas Health Medical Group, PC (West Orange, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shannon Edgeworth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Edgeworth accept?

Health plans from Oscar Health list Shannon Edgeworth 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 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.