Lokmattie Shelly Channan, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

101215-1 Issued in NY

Practice address

6530 108TH St
Forest Hills, NY 11375-2255

Phone

(347) 803-3493

Fax

(347) 803-3493

NPI assigned

Sep 28, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Lokmattie Shelly Dharamdat Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1154830545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6530 108TH ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6530 108TH ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752255",
            "telephone_number": "347-803-3493",
            "fax_number": "347-803-3493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANNAN",
        "first_name": "LOKMATTIE",
        "middle_name": "SHELLY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "NY",
            "license": "101215-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOKMATTIE",
            "last_name": "DHARAMDAT",
            "middle_name": "SHELLY",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Chang Queens Acupuncture Wellness P.C.
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• Claudianer Charles

• Social Worker in Forest Hills, NY
• Providers in Forest Hills, 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 Jun 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.