Active NPI
Mary Shaheen, LMSW
- Social Worker
- Brooklyn, NY
National Provider Identifier
1720851272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 121368
- Practice address
- 26 Court St Ste 2604
Brooklyn, NY 11242-1126 - Phone
- (929) 399-9809
- NPI assigned
- Nov 6, 2023
- 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 | 121368 | NY | Primary |
Addresses
Primary practice location
26 Court St Ste 2604
Brooklyn, NY 11242-1126
Mailing address
26 Court St Ste 2604
Brooklyn, NY 11242-1126
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121368 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738108800000",
"number": "1720851272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 COURT ST STE 2604",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112421126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 COURT ST STE 2604",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112421126",
"telephone_number": "929-399-9809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAHEEN",
"first_name": "MARY",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-06",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "121368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.