Marina Shafarenko, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

53181-1 Issued in NY

Practice address

34 Ebony St
Staten Island, NY 10306-1923

Phone

(718) 987-7947

NPI assigned

May 27, 2009

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

Other names 1

• Marina Shafarenko Professional name

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": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243382400000",
    "number": "1316172810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 EBONY ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103061923",
            "telephone_number": "718-987-7947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 EBONY ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103061923",
            "telephone_number": "718-987-7947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFARENKO",
        "first_name": "MARINA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-27",
        "last_updated": "2009-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "53181-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARINA",
            "last_name": "SHAFARENKO",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• SG Medical Professionals NJ PC
• SG Occupational Therapy PC
• Amanda Nicole Sgambati, CCC-SLP
• Maria Sgambati, M.S.ED.
• Rosemarie Sgarlato, LCSW
• Muhammed Hashir Shafi, PHARMD
• Sabrina Shafi
• Rebecca Miriam Shafir, RN
• Abhin Shah, MD
• Jahnvi Nayankumar Shah

• Mental Health Counselor in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.

Verify at the official NPI Registry.