Individual provider Active NPI

Rikki Blair Shanberg, LMSW

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1124304779
Registry record updated Oct 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
081941 Issued in NY
Practice address
177 Livingston St
Brooklyn, NY 11201-7000
Phone
(718) 855-7707
NPI assigned
Oct 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 081941 NY Primary

Addresses

Primary practice location

177 Livingston St
Brooklyn, NY 11201-7000

Mailing address

177 Livingston St
Lower Level
Brooklyn, NY 11201-7000
Phone (718) 855-7707

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

NPI Registry JSON

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380672000000",
    "number": "1124304779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 LIVINGSTON ST",
            "address_2": "LOWER LEVEL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112017000",
            "telephone_number": "718-855-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 LIVINGSTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112017000",
            "telephone_number": "718-855-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANBERG",
        "first_name": "RIKKI",
        "middle_name": "BLAIR",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-27",
        "last_updated": "2013-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "081941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.