Shirley Sillekens, LCSW ACSW BCD CAS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

PR0130441 Issued in NY

Practice address

11015 71St Rd
Suite 1J
Forest Hills, NY 11375

Phone

(718) 527-7742

NPI assigned

Aug 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285743443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13429 166TH PL",
            "address_2": "APT 13A",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114343844",
            "telephone_number": "718-527-7742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11015 71ST RD",
            "address_2": "SUITE 1J",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-527-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILLEKENS",
        "first_name": "SHIRLEY",
        "name_prefix": "Ms.",
        "credential": "LCSW ACSW BCD CAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR0130441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01587544",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Si Medical Services PC
• Carol Sica, LCSW
• Sarah Siewnarine
• Judith Sigall, M.S.
• Amy J Silberman, LCSW
• Anjanette Siller
• Agustina Silva
• Gregory H Silver, M.D.
• Jaclyn Silver, LMSW
• Sarah Elizabeth Silver, MS ED

• Clinical Social Worker in Forest Hills, NY
• Providers in Forest Hills, 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 Jul 8, 2007; 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.