Shurayer Gilliam, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

114395 Issued in NY

Practice address

480 North St
Middletown, NY 10940-4504

Phone

(845) 239-4541

NPI assigned

Oct 17, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1982170981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 WILLIAMS AVE APT 4D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112073932",
            "telephone_number": "929-365-6653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 NORTH ST",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109404504",
            "telephone_number": "845-239-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIAM",
        "first_name": "SHURAYER",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-17",
        "last_updated": "2024-07-05",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "114395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francis Giannino, CERTIFIED PEDORTHIST
• Albalira Gibson-Borrelli, NP
• Lorica Gibson, LMSW
• Scott David Gibson, LCSW
• Aamir Masood Gilani, M.D
• Helen Marie Gilmour, RN
• Brian David Gindoff, MD
• Samantha Giordano, LPN
• Frank B. Giorgianni Jr., D.D.S.
• Michael J. Giorgianni, D.M.D.

• Clinical Social Worker in Middletown, NY
• Providers in Middletown, 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 Jul 5, 2024; 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.