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NPI Code Detail

MEDICARE: MS. SARAH REINA SHASHO LCSW

MEDICARE: MS. SARAH REINA SHASHO LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker44SC06261400NJ

General Provider Information

NPI Number : 1851924815
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SARAH REINA SHASHO LCSW
Provider Business Mailing Address
First Line : 1771 MADISON AVE
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-1242
Country : US
Telephone Number : 732-364-6666
Fax Number :
Provider Business Practice Location Address
First Line : 1771 MADISON AVE
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-1242
Country : US
Telephone Number : 732-364-6666
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2020
Last Update Date : 06/03/2026

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