Active NPI
Shaira A. Shah, LCSW, JD, LPN, C.HT.
- Clinical Social Worker
- Soldotna, AK
National Provider Identifier
1184254476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 215230
- Practice address
- 35670 Kenai Spur Hwy Ste 103a
Soldotna, AK 99669-7649 - Phone
- (907) 912-0040
- NPI assigned
- Jan 25, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 215230 | AK | Primary |
Addresses
Primary practice location
35670 Kenai Spur Hwy Ste 103a
Soldotna, AK 99669-7649
Mailing address
175 N Binkley St Unit 581
Soldotna, AK 99669-0269
Phone (954) 483-5576
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 |
|---|---|---|---|
| 215230 | AK | MD | Clinical Social Worker |
Interoperability endpoints
- sshah3026977@ak.providencedirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787270400000",
"number": "1184254476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 N BINKLEY ST UNIT 581",
"city": "SOLDOTNA",
"state": "AK",
"postal_code": "996690269",
"telephone_number": "954-483-5576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35670 KENAI SPUR HWY STE 103A",
"city": "SOLDOTNA",
"state": "AK",
"postal_code": "996697649",
"telephone_number": "907-912-0040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "SHAIRA",
"middle_name": "A.",
"name_prefix": "Ms.",
"credential": "LCSW, JD, LPN, C.HT.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-25",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AK",
"license": "215230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Soldotna, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.