Active NPI
Monna Shahna, LMSW
- Social Worker
- Bayside, NY
National Provider Identifier
1053554774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 078860
- Practice address
- 21111 Northern Blvd
2ND Floor
Bayside, NY 11361-3241 - Phone
- (718) 705-1000
- NPI assigned
- Apr 10, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 078860 | NY | Primary |
Addresses
Primary practice location
21111 Northern Blvd
2ND Floor
Bayside, NY 11361-3241
Mailing address
412 9TH St
Apt. 4
Brooklyn, NY 11215-4158
Phone (703) 975-2277
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 078860 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Healthcare, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Developmental Disabilities Clinic/Center
- New York, NY
- NPI 1760436190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239321600000",
"number": "1053554774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 9TH ST",
"address_2": "APT. 4",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112154158",
"telephone_number": "703-975-2277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21111 NORTHERN BLVD",
"address_2": "2ND FLOOR",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113613241",
"telephone_number": "718-705-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAHNA",
"first_name": "MONNA",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-10",
"last_updated": "2009-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "078860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.