Active NPI
Shakti Therapy LLC
- Clinical Social Worker
- Washington, DC
National Provider Identifier
1073225892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kelly Ann Aguirre, MSW, MPH
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 DirectoryLocations
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.
-
- Clinical Social Worker
- Washington, DC
- NPI 1154681161
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.