Pallavi Shinde, MS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW022882 Issued in PA

Practice address

985 Horsham Rd
North Wales, PA 19454-1410

Phone

(484) 221-9136

Fax

(484) 221-9130

NPI assigned

Mar 10, 2011

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)

Enrolled

Credentials

Master of Science

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.

• Liberty Human Services, LLC

  • Community/Behavioral Health Agency
  • Elkins Park, PA
  • NPI 1083044531
  NPD Authorized official

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1982902292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 W TILGHMAN ST",
            "address_2": "SUITE 105B",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181044354",
            "telephone_number": "484-221-9136",
            "fax_number": "484-221-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 HORSHAM RD",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194541410",
            "telephone_number": "484-221-9136",
            "fax_number": "484-221-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINDE",
        "first_name": "PALLAVI",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-10",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW022882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Lawrence Semel, RPH
• Lakshman P Setty, B.D.S
• Kelly C Seymour, MS, PA-C
• Shin Family Chiropractic & Rehabilitation, P.C.
• Seungmook Shin, DC
• Marielle Elizabeth Silberman, LCSW
• Laurie Simmonds, OD
• Andrea Foley Sinnamon, D.D.S.
• SJR DO PC
• Daniel L Skubick, M.D.

• Clinical Social Worker in North Wales, PA
• Providers in North Wales, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.