IndividualActive
Amanda Shaw
NPI 1851934475 · Clinical Social Worker · Bloomfield, NJ
Provider details
- NPI number
- 1851934475
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 44SC05879200 (NJ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Practice location
1012 Broad St
Bloomfield, NJ 07003-2807
Phone: (973) 338-1244
Approximate (ZIP-level) locationGet directions
Mailing address
90 Forsythia Ln
Paramus, NJ 07652-4334
Registry dates
- Enumerated
- 2019-10-27
- Last updated
- 2020-01-24
- Certified
- 2020-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.