Ekaterina Vladimirovna Shkurkin, PHD, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00005230 Issued in WA

Practice address

677 Woodland Square Loop SE
Lacey, WA 98503-1000

Phone

(360) 789-6248

NPI assigned

Mar 15, 2013

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 identifiers 1

Other names 1

• Dr. Katya V Shkurkin Professional name

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Levi Zurcher, PS

  • Optometrist
  • Olympia, WA
  • NPI 1871871558
  NPD (past)

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

{
    "created_epoch": "1363305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1386986313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 HAWTHORNE ST SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985014123",
            "telephone_number": "360-789-6248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 WOODLAND SQUARE LOOP SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031000",
            "telephone_number": "360-789-6248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHKURKIN",
        "first_name": "EKATERINA",
        "middle_name": "VLADIMIROVNA",
        "name_prefix": "Dr.",
        "credential": "PHD, MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-15",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00005230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "G8934628",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATYA",
            "last_name": "SHKURKIN",
            "middle_name": "V",
            "prefix": "DR.",
            "credential": "PHD, MSW, LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Courtney Joanne Shepherd, LMP
• Rachel Lynne Sherburne, MS, ATC, LAT
• Stephanie Shetler
• Diane Ruth Shewmaker, LMHC, LPC, LCPC
• Emily P Shippee
• Jason Sholly
• Jessica Marie Shook, LMHC
• Shopko Stores Operating Co LLC
• Shopko Stores Operating Co. LLC
• Austin Short

• Clinical Social Worker in Lacey, WA
• Providers in Lacey, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.