Shirley Jean Waites-Howard, PHD, MSS, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW-005967-E Issued in PA

Practice address

7306-08 Ogontz Ave
Philadelphia, PA 19138-1306

Phone

(215) 292-2290

NPI assigned

Apr 20, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Shirley Jean Waites-Howard Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1831832492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 HARDING BLVD",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194012932",
            "telephone_number": "121-529-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7306-08 OGONTZ AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191381306",
            "telephone_number": "215-292-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAITES-HOWARD",
        "first_name": "SHIRLEY",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "PHD, MSS, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW-005967-E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SW-005967-E",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHIRLEY",
            "last_name": "WAITES-HOWARD",
            "middle_name": "JEAN",
            "prefix": "DR.",
            "credential": "PHD, MSS, LSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Orith Waisbourd-Zinman, M.D.
• Michael Waisbourd, M.D.
• Rugiatu E Waitay
• John T Waite, DDS
• Dara J Waiters, M.D.
• Nadirah Patricia Waites, MD
• Waitkevich Chiropractic, LLC (Andrew Waitkevich, D.C)
• Andrew Albin Waitkevich, D.C
• Simone Wajnsztajn, MD
• Midori Wakabayashi, AUD

• Social Worker in Philadelphia, PA
• Providers in Philadelphia, 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 20, 2022; 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.