Active NPI
Esmeralda Shaska LMSW, LLC
- Mental Health Counselor
- Royal Oak, MI
National Provider Identifier
1295240257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6801085518
- Legal business name
- ESMERALDA SHASKA LMSW, LLC
- Doing business as
- Esmeralda Shaska LMSW, LLC
- Practice address
- 415 S West St Ste 150
Royal Oak, MI 48067-2521 - Phone
- (313) 622-7583
- NPI assigned
- Dec 12, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Esmeralda Shaska, LMSW
- Title
- Clinical SW
- Phone
- (313) 622-7583
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6801085518 | MI | Primary |
Addresses
Primary practice location
415 S West St Ste 150
Royal Oak, MI 48067-2521
Mailing address
1830 Evergreen Dr
Royal Oak, MI 48073-3911
Phone (313) 622-7583
Other names 1
- Esmeralda Shaska LMSW, LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1513036800000",
"number": "1295240257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1830 EVERGREEN DR",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480733911",
"telephone_number": "313-622-7583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 S WEST ST STE 150",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480672521",
"telephone_number": "313-622-7583"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ESMERALDA SHASKA LMSW, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-12",
"last_updated": "2017-12-12",
"status": "A",
"authorized_official_last_name": "SHASKA",
"authorized_official_first_name": "ESMERALDA",
"authorized_official_title_or_position": "CLINICAL SW",
"authorized_official_telephone_number": "313-622-7583",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6801085518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Esmeralda Shaska LMSW, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.