Emma Shakarshy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW021872. Issued in PA

Practice address

2432 E Huntingdon St
Philadelphia, PA 19125-2315

Phone

(530) 430-7896

NPI assigned

Jan 18, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1516233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1417465972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2432 E HUNTINGDON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191252315",
            "telephone_number": "530-430-7896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2432 E HUNTINGDON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191252315",
            "telephone_number": "530-430-7896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2020 Coney Island Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112232329",
            "country_code": "US",
            "telephone_number": "718-676-4280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5800 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112203702",
            "country_code": "US",
            "telephone_number": "347-377-3838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAKARSHY",
        "first_name": "EMMA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-18",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "102336",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW021872.",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Michele Shaitelman, LPC, CAGS, MS
• Divya Anna Shaji
• Grace Shaji, NP
• Joseph Shaji, PHARMD
• Binu S Shajimon, CRNP
• Abraham Shaked, MD
• Riza Shakya
• Mahmoud M Shalaby, MD
• Marc Shalaby, MD
• Michael Monir Shalaby, MD

• Clinical Social Worker in Philadelphia, PA
• Providers in Philadelphia, 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 Jun 1, 2021; 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.