Individual provider Active NPI

Jane Karen Shure, PHD, LCSW

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1073759536
Registry record updated Jan 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW012242 Issued in PA
Practice address
214 E Gorgas LN
Philadelphia, PA 19119-1929
Phone
(215) 849-3153
Fax
(215) 849-1112
NPI assigned
Jan 5, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW012242 PA Primary

Addresses

Primary practice location

214 E Gorgas LN
Philadelphia, PA 19119-1929

Mailing address

214 E Gorgas LN
Philadelphia, PA 19119-1929
Phone (215) 849-3153

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
CW012242PAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231113600000",
    "number": "1073759536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 E GORGAS LN",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191191929",
            "telephone_number": "215-849-3153",
            "fax_number": "215-849-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E GORGAS LN",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191191929",
            "telephone_number": "215-849-3153",
            "fax_number": "215-849-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHURE",
        "first_name": "JANE",
        "middle_name": "KAREN",
        "name_prefix": "Dr.",
        "credential": "PHD, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-05",
        "last_updated": "2009-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW012242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.

Verify at the official NPI Registry.