Active NPI
Shacara B Burrel, J.D, LCSW
- Clinical Social Worker
- Kalamazoo, MI
National Provider Identifier
1104468123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801105056
- Practice address
- 2920 W Main St
Kalamazoo, MI 49006-2954 - Phone
- (269) 888-4046
- Fax
- (269) 721-6361
- NPI assigned
- Oct 10, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6851105056 | MI | |
| Clinical Social Worker | 1041C0700X | 6801105056 | MI | Primary |
| Clinical Social Worker | 1041C0700X | 6851105056 | MI |
Addresses
Primary practice location
2920 W Main St
Kalamazoo, MI 49006-2954
Mailing address
PO Box 35
Oshtemo, MI 49077-0035
Phone (231) 670-9761
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6801105056 | Other | MI | MSW LIMITED LICENSE |
| 6851105056 | Other | MI | LLMSW |
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
- Juris Doctor
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6851105056 | MI | MD | Social Worker |
| 6801105056 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Becoming Balanced, LLC | Social Worker | Current | Accepting new patients |
| Intentional Journey Counseling Services, PLLC | Clinical | Past | Accepting new patients |
Locations
1141 S Rose St
Ste A
Kalamazoo, MI 49001
Phone (269) 344-8700
2970 S 9th St
Ste 9
Kalamazoo, MI 49009
Phone (269) 330-2390
2920 W Main St
Kalamazoo, MI 49006
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Kalamazoo, MI
- NPI 1720795578
-
- Clinical Social Worker
- Portage, MI
- NPI 1457903122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785110400000",
"number": "1104468123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35",
"city": "OSHTEMO",
"state": "MI",
"postal_code": "490770035",
"telephone_number": "231-670-9761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2920 W MAIN ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490062954",
"telephone_number": "269-888-4046",
"fax_number": "269-721-6361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURREL",
"first_name": "SHACARA",
"middle_name": "B",
"credential": "J.D, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-10",
"last_updated": "2026-07-27",
"certification_date": "2026-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": "MI",
"license": "6851105056",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801105056",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6851105056",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MSW LIMITED LICENSE",
"identifier": "6801105056",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LLMSW",
"identifier": "6851105056",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.