Organization Active NPI

Shakti Therapy LLC

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1073225892
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SHAKTI THERAPY LLC
Practice address
1638 R St NW Ste 313
Washington, DC 20009-6481
Phone
(202) 821-6082
NPI assigned
Dec 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Authorized official

Name
Mrs. Kelly Ann Aguirre, MSW, MPHNPI 1154681161
Title
Owner/Psychotherapist
Phone
(678) 995-3559

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1638 R St NW Ste 313
Washington, DC 20009-6481

Mailing address

5503 43Rd Ave
Hyattsville, MD 20781-1906
Phone (202) 821-6082

Other practice location 1

5503 43rd Ave
Hyattsville, MD 20781-1906
Phone (202) 821-6082

National Provider Directory

National Provider Directory

Locations

1638 R St NW
Ste 313
Washington, DC 20009
Phone (202) 735-1635

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1671753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1073225892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5503 43RD AVE",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207811906",
            "telephone_number": "202-821-6082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1638 R ST NW STE 313",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200096481",
            "telephone_number": "202-821-6082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5503 43rd Ave",
            "address_purpose": "LOCATION",
            "city": "Hyattsville",
            "state": "MD",
            "postal_code": "207811906",
            "country_code": "US",
            "telephone_number": "202-821-6082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHAKTI THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-23",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "AGUIRRE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "678-995-3559",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, MPH"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.