Shekiah Brabham, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

140984 Issued in PA

Practice address

18 Campus Blvd Ste 100
Newtown Square, PA 19073-3240

Phone

(267) 995-4065

NPI assigned

Apr 16, 2024

Last updated

Apr 16, 2024By the provider in NPPES

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Melanated Healing

  • Mental Health Counselor
  • Havertown, PA
  • NPI 1073255311
  NPD (past)

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

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1619721529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6035 N PARK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413233",
            "telephone_number": "267-621-9176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 CAMPUS BLVD STE 100",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190733240",
            "telephone_number": "267-995-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRABHAM",
        "first_name": "SHEKIAH",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "140984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerome Anthony Boscia, MD
• David Avery Bottger, MD
• Catherine Maria Bowen, BCBA
• Debra Lynne Boyd, PH.D.
• Tyler Boyd, PT, DPT, CSCS
• Megan Bragg, PHD RDN LDN
• Sue Ann Brancato
• Shanda Brashears, CCC-A
• Mary Lou D. Bremser, CRNP
• Deborah Brennan, D.M.D.

• Social Worker in Newtown Square, PA
• Providers in Newtown Square, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.