Fateemah Shakur, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SL07246300 Issued in NJ

Practice address

1387 Chews Landing Rd
Clementon, NJ 08021-2760

Phone

(856) 333-3930

NPI assigned

Mar 20, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1742428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1093516668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 N COLLEGE AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191214809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1387 CHEWS LANDING RD",
            "city": "CLEMENTON",
            "state": "NJ",
            "postal_code": "080212760",
            "telephone_number": "856-333-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKUR",
        "first_name": "FATEEMAH",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-20",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW142419",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL07246300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandy Shawnte Robinson, RDH/PMUA
• Alicia Ruddy, MA, LPC, NCC
• Caneel Schipper, LAC, NCC
• Deana Scruggs
• Dipti Shah
• Adam Shaw, LSW
• Amit Sheth, PHARMD.
• Adelyn N Simeone, BCBA
• SK Passion
• Angela Bianca Skelley

• Social Worker in Clementon, NJ
• Providers in Clementon, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.