Active NPI
Margarita Shakhmurov, LCSW
- Clinical Social Worker
- Rego Park, NY
National Provider Identifier
1083710859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R55855-1
- Practice address
- 9876 Queens Blvd
Suite 1C
Rego Park, NY 11374-4356 - Phone
- (917) 846-2538
- Fax
- (516) 295-0828
- NPI assigned
- Sep 16, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R55855 | NY | |
| Clinical Social Worker | 1041C0700X | R55855-1 | NY | Primary |
Addresses
Primary practice location
9876 Queens Blvd
Suite 1C
Rego Park, NY 11374-4356
Mailing address
873 Cherry LN
Valley Stream, NY 11581-2722
Phone (516) 295-0828
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R55855 | NY | MD | Clinical Social Worker |
| R55855-1 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Counseling LCSW PC | Past | Accepting new patients | |
| Jewish Board for Family and Children Services | Past | Accepting new patients | |
| New York Psychiatric Services, P.C. | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Rego Park, NY
- NPI 1679610893
-
- Community/Behavioral Health Agency
- Brooklyn, NY
- NPI 1366685430
-
- Psychiatry Physician
- Brooklyn, NY
- NPI 1538371018
-
- Social Worker
- Port Jefferson, NY
- NPI 1043093503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083710859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "873 CHERRY LN",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115812722",
"telephone_number": "516-295-0828",
"fax_number": "516-295-0828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9876 QUEENS BLVD",
"address_2": "SUITE 1C",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113744356",
"telephone_number": "917-846-2538",
"fax_number": "516-295-0828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAKHMUROV",
"first_name": "MARGARITA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R55855",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R55855-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.