Active NPI
Sonya Lee Shulkin, LCSW
- Mental Health Counselor
- Bala Cynwyd, PA
National Provider Identifier
1255667937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- SW 001461-E
- Practice address
- 105 Marywatersford Rd
Bala Cynwyd, PA 19004-2020 - Phone
- (610) 667-7645
- NPI assigned
- Oct 30, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | SW 001461-E | PA | Primary |
Addresses
Primary practice location
105 Marywatersford Rd
Bala Cynwyd, PA 19004-2020
Mailing address
105 Marywatersford Rd
Bala Cynwyd, PA 19004-2020
Phone (610) 667-7645
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW 001461-E | PA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256860800000",
"number": "1255667937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 MARYWATERSFORD RD",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190042020",
"telephone_number": "610-667-7645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 MARYWATERSFORD RD",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190042020",
"telephone_number": "610-667-7645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHULKIN",
"first_name": "SONYA",
"middle_name": "LEE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-30",
"last_updated": "2009-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "SW 001461-E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bala Cynwyd, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.