Shobhana Laveen Kanal, MSS, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW017034 Issued in PA

Practice address

355 Lancaster Ave
BLDG. C, 2ND Floor
Haverford, PA 19041-1547

Phone

(484) 716-8625

NPI assigned

Jan 10, 2007

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315440000000",
    "number": "1386794832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 TREVOR LN",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190042329",
            "telephone_number": "484-716-8625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 LANCASTER AVE",
            "address_2": "BLDG. C, 2ND FLOOR",
            "city": "HAVERFORD",
            "state": "PA",
            "postal_code": "190411547",
            "telephone_number": "484-716-8625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANAL",
        "first_name": "SHOBHANA",
        "middle_name": "LAVEEN",
        "name_prefix": "Ms.",
        "credential": "MSS, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2011-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• I. M. Solomon, P.C.
• Amy S Jackson, MS, OTR/L
• Matthew Jonas Jarrett, M.D.
• Anthony Gerard Johnson, M.D. M.B.B.S. M.P.H.
• Susan Johntz, M.D.
• Jessica Diane Kane, COTA
• Kathryn Elizabeth Angell PHD
• Eileen B Keaveney, COTA/L
• Lauren Elizabeth Keith, MS, LPC
• Linda Marie Kilgus

• Clinical Social Worker in Haverford, PA
• Providers in Haverford, 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 Sep 8, 2011; 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.