Individual provider Active NPI

Shaira A. Shah, LCSW, JD, LPN, C.HT.

  • Clinical Social Worker
  • Soldotna, AK
National Provider Identifier
1184254476
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
215230 Issued in AK
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

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
215230AKMDClinical Social Worker

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.