Areesah Abdus-Shakur, LMSW
Individual provider Active NPI Social Worker · Drexel Hill, PA
NPI 1043748221 · NPPES record last updated May 31, 2017
Key facts
- NPI
- 1043748221
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 127666 (PA)
- Practice address
- 39-9 Revere Rd
Drexel Hill, PA 19026-5321 - Phone
- (610) 908-5010
- NPI assigned
- May 31, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 127666 | PA | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 127666 | PA | Yes |
Addresses
Primary practice location
39-9 Revere Rd
Drexel Hill, PA 19026-5321
Mailing address
39-9 Revere Rd
Drexel Hill, PA 19026-5321
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All providers in Drexel Hill, PA · Social Worker in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.