Shivani L Chudasama LCSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SHIVANI L CHUDASAMA LCSW PLLC

Practice address

619 W Main St
Carrboro, NC 27510-1628

Phone

(919) 618-1913

NPI assigned

Apr 6, 2019

Organization subpart

No

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

Authorized official

Name

Shivani L. Chudasama, LCSW

Title

Owner

Phone

(919) 618-1913

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1554508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554508800000",
    "number": "1174086201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 W MAIN ST",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275101628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 W MAIN ST",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275101628",
            "telephone_number": "919-618-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIVANI L CHUDASAMA LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-06",
        "last_updated": "2019-04-06",
        "status": "A",
        "authorized_official_last_name": "CHUDASAMA",
        "authorized_official_first_name": "SHIVANI",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-618-1913",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smruti Patel Shah, DPT
• Chitra Shankar, PHARMD
• Kathleen M Shapley-Quinn, MD
• Olivia Shelton, DPT
• Kevin Eldon Shilling
• Neha Shrestha, DMD
• Hannah Shumaker
• Silvur Lining Holdings, LLC
• Grace Lee Simmons, PHD
• Noah Simpson, RPH

• Clinical Social Worker in Carrboro, NC
• Providers in Carrboro, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2019; 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.