Michelle Shubin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R029066 Issued in NY

Practice address

303 5TH Ave RM 1105
New York, NY 10016-6668

Phone

(917) 748-8619

NPI assigned

Apr 11, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523404800000",
    "number": "1235636663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 5TH AVE RM 1105",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166668",
            "telephone_number": "917-748-8619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 5TH AVE RM 1105",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166668",
            "telephone_number": "917-748-8619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Concord Ave",
            "address_purpose": "LOCATION",
            "city": "Maplewood",
            "state": "NJ",
            "postal_code": "070403209",
            "country_code": "US",
            "telephone_number": "917-748-8619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUBIN",
        "first_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-11",
        "last_updated": "2018-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R029066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marla Ann Shu, D.O.
• Michael Shu, MD
• Patricia Lin Shu, RN
• John Robert Shubeck Jr., MD
• Rebecca Julia Shubert, LMSW
• Devorah B Shubowitz, PT
• Karen Gail Shufleder, MA, OTR/L, NYCGTC
• Shugar Bernard MD PC
• Michelle Lucy Shui, MD
• Fiza Shuja, OD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; 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.