Brandy Shufutinsky, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW132914 Issued in PA

Practice address

550 N Broad St
Philadelphia, PA 19130-4016

Phone

(267) 415-6476

NPI assigned

Nov 23, 2015

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": "1448236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1245604651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30192",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190270592",
            "telephone_number": "267-415-6476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191304016",
            "telephone_number": "267-415-6476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUFUTINSKY",
        "first_name": "BRANDY",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-23",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW132914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonia Therese Shubert, APRN
• Quincy Shuda
• Francis Shue, PH.D.
• Holly R Shue, M.D.
• Brian Mark Shuffler, D.C.
• Alexandra C Shugarts, AUD
• Jessica Claire Shuhaibar, MD
• Melissa Shukdinas, PT, DPT, C/NDT, NTMT
• Michael Richard Shuker, CRNP
• Aseem Ravindra Shukla, MD

• Social Worker in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.