Active NPI
Joy Arisa Shakur, LSW
- Social Worker
- Toledo, OH
National Provider Identifier
1588140271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 723 Phillips Ave
Toledo, OH 43612-1300 - Phone
- (419) 407-5546
- NPI assigned
- Jul 16, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
723 Phillips Ave
Toledo, OH 43612-1300
Mailing address
723 Phillips Ave BLDG E
Toledo, OH 43612-1351
Phone (419) 407-5546
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0101281 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parker Residential & Care Services | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Toledo, OH
- NPI 1588305999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531699200000",
"number": "1588140271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "723 PHILLIPS AVE BLDG E",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436121351",
"telephone_number": "419-407-5546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "723 PHILLIPS AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436121300",
"telephone_number": "419-407-5546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAKUR",
"first_name": "JOY",
"middle_name": "ARISA",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-16",
"last_updated": "2018-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0101281",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.