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AMANDA SHAW
NPI 1851934475
Social Worker - Clinical in Bloomfield, NJ

Active since October 27, 2019PECOS Enrolled
1012 BROAD ST, BLOOMFIELD, NJ 07003(973) 338-1244 Get Directions Write a Review

NPPES record last updated: January 24, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 24, 2020, Oct 27, 2019 (2 updates tracked since 2019).

About Amanda Shaw NPPES

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

AMANDA SHAW (NPI 1851934475) is an individual clinical provider in Bloomfield, New Jersey, licensed in New Jersey (44SC05879200) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851934475
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAMANDA SHAW
Location Address1012 BROAD STBloomfield, NJ 07003-2807
Mailing Address90 Forsythia LnParamus, NJ 07652-4334 · (201) 575-5001
Phone(973) 338-1244
Sole ProprietorYes
Enumeration DateOctober 27, 2019
Last NPPES UpdateJanuary 24, 20202 updates tracked since enumeration
✔ NPI 1851934475 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 · 44SC05879200
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.
1012 BROAD ST, Bloomfield, NJ 07003
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Shaw 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 07003 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 8

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

MRS. MARIA GRACE BILLINGS
Counselor
1012 BROAD ST
BLOOMFIELD, NJ 07003
Essex County (201) 803-7968
COUNSELING CARE CENTER LLC
Marriage & Family Therapist
1012 BROAD ST
BLOOMFIELD, NJ 07003
Essex County (973) 338-1244
LIZA IBRAHIM LPC
Counselor (Professional)
1012 BROAD ST
BLOOMFIELD, NJ 07003
Essex County (973) 338-1244
SUSANA DIAZ
Marriage & Family Therapist
1012 BROAD ST
BLOOMFIELD, NJ 07003
Essex County (973) 338-1244
CAROLINE BERETTA LPC
Counselor (Professional)
1012 BROAD ST
BLOOMFIELD, NJ 07003
Essex County (973) 338-1244
LEE BEN-HAKOON
Counselor
1012 BROAD ST
BLOOMFIELD, NJ 07003
Essex County (973) 338-1244
DR. MAUREEN REGINA CHAUNCEY PHD, LPC
Counselor (Professional)
1012 BROAD ST
BLOOMFIELD, NJ 07003
Essex County (972) 338-1244
NAZIK YOUSEF LPC
Counselor (Professional)
1012 BROAD ST
BLOOMFIELD, NJ 07003
Essex County (973) 338-1244

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 Amanda Shaw's NPI number?

The NPI number for Amanda Shaw is 1851934475. It was assigned to this individual provider in the NPPES registry on October 27, 2019.

Where is Amanda Shaw located?

Amanda Shaw practices at 1012 Broad St, Bloomfield, NJ 07003. The listed phone number is (973) 338-1244.

What is Amanda Shaw's specialty?

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

Is Amanda Shaw enrolled in Medicare?

Yes. Amanda Shaw is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amanda Shaw was last updated on January 24, 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.