Risa Shibata, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW023334 Issued in PA

Practice address

610 York Rd Ste 400
Jenkintown, PA 19046-2866

Phone

(267) 461-4952

NPI assigned

Nov 3, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1376144675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 YORK RD STE 400",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462866",
            "telephone_number": "267-461-4952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 YORK RD STE 400",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462866",
            "telephone_number": "267-461-4952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIBATA",
        "first_name": "RISA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW023334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shareable Moments Home Care LLC
• Ira Robert Sharp, M.D.
• Deanna Jean Shaw, PA-C
• Pascal T Shei
• Shepherd Solutions LLC
• Paul M Shipkin, M.D., P.C.
• Kyung Yun Shumaker, LIC ACUPUNCTURIST
• Selena Sibert
• Debra Siegel
• Susan Siegelman, LCSW

• Clinical Social Worker in Jenkintown, PA
• Providers in Jenkintown, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.