Shoshana Bulow, PHD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SHOSHANA BULOW, PHD

Practice address

4520 Waldo Ave
Bronx, NY 10471-3942

Phone

(212) 696-8679

NPI assigned

Nov 25, 2022

Last updated

Nov 25, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shoshana M Bulow, LCSW, PHDNPI 1336474261

Title

Owner, Psychotherapist

Phone

(212) 696-8679

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shoshana M Bulow, LCSW, PHD

  • Clinical Social Worker
  • Bronx, NY
  • NPI 1336474261
  NPD Authorized official

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

{
    "created_epoch": "1669334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669334400000",
    "number": "1861102352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 WALDO AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104713942",
            "telephone_number": "212-696-8679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 WALDO AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104713942",
            "telephone_number": "212-696-8679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOSHANA BULOW, PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-25",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-25",
        "status": "A",
        "authorized_official_last_name": "BULOW",
        "authorized_official_first_name": "SHOSHANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER, PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "212-696-8679",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW, PHD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashna Shome, MD
• Linda Anne Shookster, M.D.
• Veronica Lee Short, LMSW
• Charlotte Sylvia Shorte
• Nadirah Kameelah Shorter, M.S. SLP-TSSLD
• Cory Shoshany, MD
• Sadiq Temitope Shotomiwa, BSN
• Keenan W Shoulders, LMSW
• Melissa Jane Shoupe, LCSW
• Olsjon Shperdheja

• 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 25, 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.