Individual provider Active NPI

Shameka Maria Sparrow, LCSW

  • Mental Health Counselor
  • Philadelphia, PA
National Provider Identifier
1063700938
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1515 Market St Ste 1200
Philadelphia, PA 19102-1932
Phone
(215) 259-8078
NPI assigned
Jul 13, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1515 Market St Ste 1200
Philadelphia, PA 19102-1932

Mailing address

1515 Market St Ste 1200
Philadelphia, PA 19102-1932
Phone (215) 259-8078

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180124000688 PA Practitioner - Clinical Social Worker 7113286956 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Family Practice, Inc. CurrentSince Jul 16, 2024 Accepting new patients

Locations

1789 S Braddock Ave
Ste 410
Pittsburgh, PA 15218
Phone (412) 247-2310

1789 S Braddock Ave
Ste 395
Swissvale, PA 15218
Phone (412) 241-1111

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1063700938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 MARKET ST STE 1200",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021932",
            "telephone_number": "215-259-8078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 MARKET ST STE 1200",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021932",
            "telephone_number": "215-259-8078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARROW",
        "first_name": "SHAMEKA",
        "middle_name": "MARIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-13",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.