Shraddha Arivind Prabhu

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW025811 Issued in PA

Practice address

3104 State St
Erie, PA 16508-2820

Phone

(814) 431-4553

NPI assigned

Jan 25, 2023

Sex

Female

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

Locations

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.

• Refuge Therapeutic Services

  • Mental Health Counselor
  • Erie, PA
  • NPI 1851004287
  NPD

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1821704529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 E 40TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165043123",
            "telephone_number": "814-431-4553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 STATE ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165082820",
            "telephone_number": "814-431-4553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRABHU",
        "first_name": "SHRADDHA",
        "middle_name": "ARIVIND",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-25",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW025811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Potts, CRNP
• Christine Julia Powell, DPM
• Monique Maria Powell, D.C.
• Abbey Lynn Powers, PHARMD
• PPC Anesthesia, Inc.
• Ken Rafael Pradillada II
• Rebecca Praetzel
• Meghan Elizabeth Prather, CRNP
• Cordell V Preciado, MD
• Precision Medical Imaging, LLC

• Clinical Social Worker in Erie, PA
• Providers in Erie, 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 Jul 9, 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.

Verify at the official NPI Registry.