Individual provider Active NPI

Michael Burke Shatek, LCSW

  • Clinical Social Worker
  • Windcrest, TX
National Provider Identifier
1356825939
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
63745 Issued in TX
Practice address
5931 Winding Ridge Dr
Windcrest, TX 78239-2136
Phone
(210) 213-4683
NPI assigned
Sep 20, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 63745 TX Primary

Addresses

Primary practice location

5931 Winding Ridge Dr
Windcrest, TX 78239-2136

Mailing address

5931 Winding Ridge Dr
Windcrest, TX 78239-2136
Phone (210) 213-4683

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
63745TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Shatek LLC CurrentSince Nov 6, 2022 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": "1537401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1356825939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5931 WINDING RIDGE DR",
            "city": "WINDCREST",
            "state": "TX",
            "postal_code": "782392136",
            "telephone_number": "210-213-4683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5931 WINDING RIDGE DR",
            "city": "WINDCREST",
            "state": "TX",
            "postal_code": "782392136",
            "telephone_number": "210-213-4683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHATEK",
        "first_name": "MICHAEL",
        "middle_name": "BURKE",
        "name_prefix": "Dr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-20",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "63745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windcrest, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.