Kurtisa L Shaw, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

089661 Issued in NY

Practice address

1 Echo Hill
Cordero BLD RM 114
Dobbs Ferry, NY 10522

Phone

(914) 693-0600

Fax

(914) 517-6837

NPI assigned

Aug 28, 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

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.

• Childrens Village

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Dobbs Ferry, NY
  • NPI 1376832931
  NPD (past)

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1891570040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ECHO HL",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105223600",
            "telephone_number": "914-693-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ECHO HILL",
            "address_2": "CORDERO BLD RM 114",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "10522",
            "telephone_number": "914-693-0600",
            "fax_number": "914-517-6837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "KURTISA",
        "middle_name": "L",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "089661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heike Schulte-Goecking, L.AC., MS, MA
• Eric Edward Schwabe, PT
• Jason Schwartz, PT, DPT
• Jessica Schwartz
• Arleen Sharpe, M.D.
• Penelope Gay Sheely, M.D.
• Elana Shoykhet
• Andrii Shportko, DMD
• Mark Sigfried Silberman, M.D.
• Jennifer Silver, MASTERS OF SPEC ED

• Social Worker in Dobbs Ferry, NY
• Providers in Dobbs Ferry, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.