Organization Active NPI

Shepherd Solutions LLC

  • Clinical Social Worker
  • Jenkintown, PA
National Provider Identifier
1700492931
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SHEPHERD SOLUTIONS LLC
Practice address
1255 Gordon Rd
Jenkintown, PA 19046-3908
Phone
(215) 833-5277
NPI assigned
Sep 22, 2020
Last updated
Sep 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Authorized official

Name
Mr. Kahlil Shepherd, LCSW
Title
Ceo
Phone
(215) 833-5277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1255 Gordon Rd
Jenkintown, PA 19046-3908

Mailing address

1255 Gordon Rd
Jenkintown, PA 19046-3908
Phone (215) 833-5277

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1700492931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 GORDON RD",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463908",
            "telephone_number": "215-833-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 GORDON RD",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463908",
            "telephone_number": "215-833-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPHERD SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "KAHLIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-833-5277",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenkintown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.