Jacqueline Shikora, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

117507 Issued in NY

Practice address

3305 Jerusalem Ave Ste 207
Wantagh, NY 11793-2219

Phone

(516) 785-3023

Fax

(516) 785-6026

NPI assigned

Oct 11, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• South Shore Counseling and Psychological Services P C

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wantagh, NY
  • NPI 1336209469
  NPD

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1124743224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 JERUSALEM AVE STE 207",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117932219",
            "telephone_number": "516-785-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 JERUSALEM AVE STE 207",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117932219",
            "telephone_number": "516-785-3023",
            "fax_number": "516-785-6026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIKORA",
        "first_name": "JACQUELINE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "117507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@sscpsli.com",
            "affiliation": "Y",
            "affiliationName": "SOUTH SHORE COUNSELING AND PSYCHOLOGICAL SERVICES P C",
            "address_1": "3305 Jerusalem Ave Ste 207",
            "city": "Wantagh",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117932219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sharon Klein LCSW PC
• Pamela Ann Sharp, MA PT
• Erin Shea, UNITED STATES
• Roger Edward Sheehy, ROGER SHEEHY D.M.D.
• Carolyn Y Shih, M.D.
• Susan T Silberger, IBCLC
• Julie Ann Sileo, M.S.
• Linda D. Silver, MA CCC/SLP
• Jayne Silverman, LCSW
• Irwin Silversmith, DMD

• Social Worker in Wantagh, NY
• Providers in Wantagh, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.