Individual provider Active NPI

Shirin D Simkhai, LMSW

  • Social Worker
  • Roslyn, NY
National Provider Identifier
1346633773
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
091814-1 Issued in NY
Practice address
58 Sugar Maple Dr
Roslyn, NY 11576-3229
Phone
(917) 488-8475
NPI assigned
Mar 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2015

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 091814-1 NY Primary

Addresses

Primary practice location

58 Sugar Maple Dr
Roslyn, NY 11576-3229

Mailing address

58 Sugar Maple Dr
Roslyn, NY 11576-3229
Phone (917) 488-8475

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
091814-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Shirin D. Simkhai, LCSW, PLLC Past Accepting new patients

Organizations & group practices 1

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": "1425945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433376000000",
    "number": "1346633773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 SUGAR MAPLE DR",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115763229",
            "telephone_number": "917-488-8475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 SUGAR MAPLE DR",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115763229",
            "telephone_number": "917-488-8475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMKHAI",
        "first_name": "SHIRIN",
        "middle_name": "D",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-10",
        "last_updated": "2015-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "091814-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; 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.