Boni Shevelove, LSW
NPI 1144739012ActiveIndividual· Social Worker· Montclair, NJ
Social Worker (LSW) in Montclair, New Jersey, licensed in NJ, with an NPI issued in September 2017. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1144739012 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LSW |
| Sole proprietor | Yes |
| NPI issued | Sep 23, 2017 |
| Last updated in NPPES | Oct 12, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | 44SC05752600 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (NJ) |
|---|
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
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