Individual provider Active NPI

Fatema Shakir, LMSW

  • Social Worker
  • New York, NY
National Provider Identifier
1285244590
Registry record updated Jun 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
110258-01 Issued in NY
Practice address
38 E 32ND St FL 10
New York, NY 10016-5562
Phone
(212) 685-6856
NPI assigned
Aug 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 110258-01 NY Primary

Addresses

Primary practice location

38 E 32ND St FL 10
New York, NY 10016-5562

Mailing address

2048 31St St Apt B5
Astoria, NY 11105-2546
Phone (847) 630-6040

Other practice location 1

5 E 17th St Fl 2
New York, NY 10003-1949
Phone (847) 630-6040

Other practice location 2

505 Park Ave Ste 400
New York, NY 10022-9331
Phone (646) 841-3652 ext. 503

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

LicenseStateTypeSpecialty
110258-01NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Renfrew Center PastSince Oct 19, 2020 Accepting new patients
The Renfrew Centers, Inc. PastSince Oct 19, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624060800000",
    "number": "1285244590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2048 31ST ST APT B5",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111052546",
            "telephone_number": "847-630-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 E 32ND ST FL 10",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165562",
            "telephone_number": "212-685-6856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 E 17th St Fl 2",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100031949",
            "country_code": "US",
            "telephone_number": "847-630-6040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 Park Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100229331",
            "country_code": "US",
            "telephone_number": "646-841-3652 x503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAKIR",
        "first_name": "FATEMA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-03",
        "last_updated": "2021-06-19",
        "certification_date": "2021-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "110258-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2021; 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.