Individual provider Active NPI

Helaine Shahar, LCSW

  • Clinical Social Worker
  • Bayside, NY
National Provider Identifier
1407945447
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R044626-1 Issued in NY
Practice address
2375 206TH St
Bayside, NY 11360-1347
Phone
(718) 352-0653
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 R044626-1 NY Primary

Addresses

Primary practice location

2375 206TH St
Bayside, NY 11360-1347

Mailing address

2375 206TH St
Bayside, NY 11360-1347
Phone (718) 352-0653

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20101220000137 NY Practitioner - Clinical Social Worker 2163610056 Practice locations: Bayside, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

23 75
Bayside, NY 11360-1347
Phone (718) 352-5320

2375 206TH St
Bayside, NY 11360-1347

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R044626-1NYMDClinical Social Worker
044626NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407945447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2375 206TH ST",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113601347",
            "telephone_number": "718-352-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 206TH ST",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113601347",
            "telephone_number": "718-352-0653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHAR",
        "first_name": "HELAINE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R044626-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

Verify at the official NPI Registry.