Shantel Verushka Mayris, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

110666-01 Issued in NY

Practice address

225 E 202ND St Apt 4D
Bronx, NY 10458-1524

Phone

(347) 654-1106

NPI assigned

Nov 8, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1851056451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E 202ND ST APT 4D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104581524",
            "telephone_number": "347-654-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E 202ND ST APT 4D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104581524",
            "telephone_number": "347-654-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYRIS",
        "first_name": "SHANTEL",
        "middle_name": "VERUSHKA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "110666-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shanmay0621@icloud.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Address",
            "address_1": "225 E 202nd St Apt 4D",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104581524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Philip Ahola Maynard, MD
• Vivien Sandra Maynard, RN
• Sonya L Maynor, DMD
• Wanda Mayo-Robinson, FNP, RN-BC
• Ashley Mayo, PT, DPT
• Jeanette Maysonet
• Gregory I Mazarin, MD
• Sirrah Mazellan
• Iqra Jabeen Mazhar, MD
• Mutahera Mazhar, MD

• Clinical Social Worker in Bronx, NY
• Providers in Bronx, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.