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NPI Code Detail

MEDICARE: WILLA SHAPIRO L.C.S.W.

MEDICARE:   WILLA  SHAPIRO  L.C.S.W.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerR025372NY

General Provider Information

NPI Number : 1124140884
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLA SHAPIRO L.C.S.W.
Provider Business Mailing Address
First Line : 200 E 94TH ST APT 315
Second Line :
City : NEW YORK
State : NY
Zip : 10128-3905
Country : US
Telephone Number : 212-369-1139
Fax Number :
Provider Business Practice Location Address
First Line : 16 E 41ST ST
Second Line : SUITE 5A
City : NEW YORK
State : NY
Zip : 10017-6217
Country : US
Telephone Number : 212-545-7652
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2007
Last Update Date : 09/21/2011

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Directions to “ WILLA SHAPIRO L.C.S.W.” Practice Location

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